Dr. Carl F Clavenna
Ophthalmologist
600 S Adams Rd Ste 200
Birmingham
, Michigan 48009-6863
Dr. Carl F Clavenna
Ophthalmologist
600 S Adams Rd Ste 200
Birmingham
, Michigan 48009-6863
(248) 642-2566
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Carl F Clavenna
- 600 S Adams Rd Ste 200
- Birmingham, MI
- Zip : 48009-6863
- Fax : (248) 642-2566
- Phone : (248) 646-3733
Second Address
- Dr. Carl F Clavenna
- 600 S Adams Rd Ste 200
- Birmingham, MI
- Zip : 48009-6863
- Fax : (248) 642-2566
- Phone : (248) 646-3733
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 4301054362 | MI |
National Provider Identifier
| NPI | 1003812561 |
|---|---|
| Provider Name | Dr. Carl F Clavenna |
| First Address | Birmingham, MI 48009-6863 |
| Second Address | Birmingham, MI 48009-6863 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2005 |
| Last Update Date | 17/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 101441 | CARE CHOICES PIN (01) | MI |
| 180F321870 | BLUE CROSS GROUP NUMBER (01) | MI |
| C4110 | M-CARE ID # (01) | MI |
| F48420 | (02) | MI |
| F48420 | HAP PIN # (01) | MI |
| F48420 | PPOM (01) | MI |
| G5031F | BLUE CARE NETWORK GROUP # (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.