| NPI | 1215175385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KEELEAN Practice Manager 517-574-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301068962) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2025-09-26 |