Organization
FARREL F LEVASSEUR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARREL FRANCIS LEVASSEUR (PRESIDENT)
(989) 893-3579
Entity
Organization
Contact information
Practice address
916 WASHINGTON AVE, SUITE 204, BAY CITY, MI 48708-5730
(989) 893-3579
Mailing address
916 WASHINGTON AVE, SUITE 204, BAY CITY, MI 48708-5730
(989) 893-3579
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
FL007097
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9702911950
BCBS GROUP
MI
01
—
9750961480
BCN - MICHIGAN
MI
Enumeration date
02/28/2007
Last updated
07/23/2009
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