Healthcare Provider Details

I. General information

NPI: 1043530215
Provider Name (Legal Business Name): ERIC JOSEPH BIONDO-SAVIN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2010
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28595 ORCHARD LAKE RD STE 200
FARMINGTON HILLS MI
48334-2979
US

IV. Provider business mailing address

28595 ORCHARD LAKE RD STE 200
FARMINGTON HILLS MI
48334-2979
US

V. Phone/Fax

Practice location:
  • Phone: 248-553-0010
  • Fax: 248-553-5957
Mailing address:
  • Phone: 248-553-0010
  • Fax: 248-553-5957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number5101016628
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number5101016628
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: