person
Dr. John W. Broviac, MD
Nephrology Physician in East Lansing, Michigan
NPI 1124070479

John W. Broviac is a Nephrology Physician based in East Lansing, MI and is specialized in Nephrology. John W. Broviac practices in East Lansing, MI and has the professional credentials of MD. The NPI Number for John W. Broviac is 1124070479 and holds a License No. 4301034184 (Michigan).

The current practice location address for John W. Broviac is 2601 Coolidge Rd, East Lansing, MI and can be reached out via phone at 517-913-4050 and via fax at 517-333-0893. You can also correspond with John W. Broviac through the mailing address at 2601 COOLIDGE RD, EAST LANSING, MI - 48823-6361 (mailing address contact number: 517-913-4050).

Location: 2601 Coolidge Rd, East Lansing, MI, 48823-6361
person
Provider Profile Details
NPI Number
1124070479
Provider Name
John W. Broviac
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2601 Coolidge Rd, East Lansing, MI, 48823-6361
Phone Number
517-913-4050
Fax Number
517-333-0893
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0M54760003 01 MI MEDICARE PLUS BLUE
1001247 01 MI MCLAREN HEALTH PLAN-MEDICAID
1001247 01 MI MCLAREN HEALTH ADVANTAGE
3421169 05 MI
5151077 01 MI AETNA
1001247 01 MI MCLAREN HEALTH PLAN-COMMERCIAL
1103351181 01 MI BCBS/BCN
200000001388 01 MI PHP
200000001388 01 MI PHP FAMILYCARE
110159644 01 MI RAILROAD MEDICARE
194055 01 MI PHCS
3421187 05 MI
institution
Provider Business Practice Location Address Details
Address
2601 Coolidge Rd
City
State
Zip
48823-6361
Phone Number
517-913-4050
Fax Number
517-333-0893
person
Provider Business Mailing Address Details
Address
2601 Coolidge Rd
City
State
Zip
48823-6361
Phone Number
517-913-4050
Fax Number
517-333-0893
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
License No.
4301034184 (Michigan)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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