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Christopher Robert Provenzano, MD
Nephrology Physician in Shelby Township, Michigan
NPI 1982876157

Christopher Robert Provenzano is a Nephrology Physician based in Shelby Township, MI and is specialized in Nephrology. Christopher Robert Provenzano practices in Shelby Township, MI and has the professional credentials of MD. The NPI Number for Christopher Robert Provenzano is 1982876157 and holds a License No. 4301082092 (Michigan).

The current practice location address for Christopher Robert Provenzano is 45650 Schoenherr Rd, Shelby Township, MI and can be reached out via phone at 586-286-7800 and via fax at 586-286-7804. You can also correspond with Christopher Robert Provenzano through the mailing address at 45640 SCHOENHERR RD, SHELBY TOWNSHIP, MI - 48315-6033 (mailing address contact number: 586-247-4300).

Location: 45650 Schoenherr Rd, Shelby Township, MI, 48315-6033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982876157
Provider Name
Christopher Robert Provenzano
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
45650 Schoenherr Rd, Shelby Township, MI, 48315-6033
Phone Number
586-286-7800
Fax Number
586-286-7804
Provider Enumeration Date
03/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP4301082092 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
45650 Schoenherr Rd
City
Shelby Township
State
Michigan
Zip
48315-6033
Phone Number
586-286-7800
Fax Number
586-286-7804
person
Provider Business Mailing Address Details
Address
45650 Schoenherr Rd
City
Shelby Township
State
Michigan
Zip
48315-6033
Phone Number
586-286-7800
Fax Number
586-286-7804
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hypertension Specialist
Taxonomy
207RH0005X
License No.
4301082092 (Michigan)
Definition
A Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
4301082092 (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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