St Clair Specialty Physicians PC
St Clair Specialty Physicians PC is a Nephrology Physician in Roseville, Michigan. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
18001 E 10 Mile Rd Ste 1Roseville, MI 48066-3803
Phone: (586) 218-5800
Fax: (586) 532-6496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nephrology Physician (primary) | Taxonomy 207RN0300X |
|---|---|
| Vascular Surgery Physician | Taxonomy 2086S0129X |
Record details
| NPI number | 1154361616 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Provenzano — Ceo/Managing Employee (W2) · (586) 286-7800 |
| Other names | St. Clair Nephrology, Idaho Nephrology Associates; St. Clair Nephrology, Idaho Nephrology Associates |
| NPI enumerated | June 6, 2006 |
| Last updated in NPPES | October 17, 2022 |
| Certification date | October 17, 2022 |
| Mailing address | 45640 Schoenherr Rd, Shelby Township, MI 48315-6033 |
Other providers in Roseville
-
J H Park MD PC
25710 Kelly Rd Ste 3, Roseville, MI 48066-4959 · (586) 772-2600
-
Quresh Khairullah, MD
18001 E 10 Mile Rd Ste 1, Roseville, MI 48066-3803 · (586) 218-5800
-
Kidney Consultants of Michigan PC
25710 Kelly Rd Ste 1, Roseville, MI 48066 · (586) 772-2600
-
Joung Ho Park, MD
25710 Kelly Rd Ste 3, Roseville, MI 48066 · (586) 772-2600
-
Jukaku Tayeb, MD
18001 E 10 Mile Rd Ste 1, Roseville, MI 48066-3803 · (586) 218-5800
-
Joel M Topf, MD
18001 E 10 Mile Rd Ste 1, Roseville, MI 48066-3803 · (586) 218-5800