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NPI 1205856044

IndividualActive

Beverly Blaney, M.D.

NPI 1205856044 · Addiction Medicine (Internal Medicine) Physician · Saint Clair Shores, MI

Provider details

NPI number: 1205856044
Entity type: Individual
Primary specialty: Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Female
Sole proprietor: No
License: 4301406704 (MI)

Specialties & taxonomies

Addiction Medicine (Internal Medicine) PhysicianPrimary207RA0401XLicense 4301406704 (MI)
Allopathic & Osteopathic Physicians
Emergency Medical Services (Emergency Medicine) Physician207PE0004XLicense 4301406704 (MI)
Allopathic & Osteopathic Physicians

Practice location

19611 E 8 Mile Rd

Saint Clair Shores, MI 48080-1655

Phone: (586) 252-2116

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

28400 Brooks Ln

Southfield, MI 48034-2005

Additional practice locations (1)

4201 Saint Antoine St
Suite 3r
Detroit, MI 48201-2153
Phone: (313) 745-3000

Registry dates

Enumerated: 2006-07-21
Last updated: 2018-03-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Beverly Blaney, M.D. — NPI 1205856044, Saint Clair Shores, MI | NPI Central