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Eugene Walter Laveroni JR., DO
Vascular Surgery Physician in Farmington Hills, Michigan
NPI 1285621474

Eugene Walter Laveroni JR. is a Vascular Surgery Physician based in Southfield, MI and is specialized in Vascular Surgery. Eugene Walter Laveroni JR. practices in Farmington Hills, MI and has the professional credentials of DO. The NPI Number for Eugene Walter Laveroni JR. is 1285621474 and holds a License No. 5101009202 (Michigan).

The current practice location address for Eugene Walter Laveroni JR. is 28100 Grand River Ave Ste 200, Farmington Hills, MI and can be reached out via phone at 947-521-8829 and via fax at 248-471-8352.

Location: 28100 Grand River Ave Ste 200, Farmington Hills, MI, 48033-3849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285621474
Provider Name
Eugene Walter Laveroni JR.
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
28100 Grand River Ave Ste 200, Farmington Hills, MI, 48033-3849
Phone Number
947-521-8829
Fax Number
248-471-8352
Provider Enumeration Date
10/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500564 01 MI DMC
3020482 05 MI
P69099 01 MI BCN
institution
Provider Business Practice Location Address Details
Address
28100 Grand River Ave Ste 200
City
Farmington Hills
State
Michigan
Zip
48336-5969
Phone Number
947-521-8829
Fax Number
248-471-8352
person
Provider Business Mailing Address Details
Address
28100 Grand River Ave Ste 200
City
Farmington Hills
State
Michigan
Zip
48336-5969
Phone Number
947-521-8829
Fax Number
248-471-8352
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
5101009202 (Michigan)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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