Most Relevant Information
Provider Data
| NPI Number: | 1003812561 |
| Provider Name: | CARL F CLAVENNA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207W00000X |
| Specialty: | Ophthalmology |
| License Number: | 4301054362 |
Most Important Dates
| Enumeration Date: | 06/21/2005 |
| Last Updated: | 11/17/2021 |
Provider Practice Location
600 S ADAMS RD
STE 200
BIRMINGHAM
MI
480096863
Practice Location Phone/Fax
| Phone: | 2486463733 |
| Fax: | 2486422566 |
Provider Mailing Location
600 S ADAMS RD
STE 200
BIRMINGHAM
MI
480096863
Provider Mailing Phone/Fax
| Phone: | 2486463733 |
| Fax: | 2486422566 |