Individual provider · Type 1 NPI

Christopher Robert Provenzano, MD

Nephrology Physician · Shelby Township, MI

NPI number 1982876157 Active

Practice location

45650 Schoenherr Rd
Shelby Township, MI 48315-6033

Fax (586) 286-7804

Mailing address

45640 Schoenherr Rd, Suite B
Shelby Township, MI 48315-6033

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300X4301082092 (MI)
Hypertension Specialist Physician 207RH0005X4301082092 (MI)
Nephrology Physician 207RN0300X49048 (CO)

Nephrology Physician: 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.

4 other providers at this address

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About NPI 1982876157

Christopher Robert Provenzano, MD's National Provider Identifier is 1982876157, issued on Mar 28, 2008. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Shelby Township, MI. The record was last updated on Oct 27, 2015.