| NPI | 1184252165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE EMMERT-BUCK CEO 248-710-0063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-03-06 |