NPI | 1225007198 |
---|---|
Doing Business As | MICHIGAN RETINA-VITREOUS INSTITUTE |
Entity Type | Organization |
Authorized Contact | STEVEN ALLEN BOSKOVICH President Owner 810-732-6231 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
Enumeration Date | 2006-03-14 |
Last Update Date | 2019-07-09 |