| NPI | 1225136906 |
|---|---|
| Other Name | ST JOHN OPTHOLMOLOGY |
| Entity Type | Organization |
| Authorized Contact | SANDRA E WHITMAN Director 586-226-6823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-10-12 |