| NPI | 1134460272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RAPPAPORT Practice Manager 248-334-4931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI WW406185) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |