| NPI | 1164960571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHEESH TEWARI Physician 313-441-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207WX0107X Ophthalmology, Retina Specialist | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2024-07-03 |