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 |