St Clair Specialty Physicians PC
NPI #1154361616 in Roseville, Michigan
Provider Information
- NPI Number
- 1154361616
- Entity Type
- Organization
- Organization Name
- St Clair Specialty Physicians PC
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Jun 6, 2006
- Last Updated
- Oct 17, 2022
Practice Location
Authorized Official
- Name
- DR. CHRISTOPHER ROBERT PROVENZANO, MD
- Title
- CEO/MANAGING EMPLOYEE (W2)
- Phone
- (586) 286-7800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Vascular Surgery — Vascular Surgery |
| Internal Medicine - Nephrology — Nephrology |
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