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1073754164
NORTHWEST EYE FOUNDATION
DETROIT, MI
NPI
1073754164
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Entity Type
Organization
Authorized Contact
MARK S JUZYCH
Manager
248-581-5973
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2009-03-19
Last Update Date
2014-09-29
Business Address
NORTHWEST EYE FOUNDATION
6071 W OUTER DR M-106
DETROIT, MI 48235-2624
Phone number: 313-966-2024
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Mailing Address
NORTHWEST EYE FOUNDATION
1560 E. MAPLE RD. SUITE 400-CREDENTIALING
TROY, MI 48083-1189
Phone number: 248-581-5973
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