| NPI | 1245490242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SOKOL Billing Supervisor 248-254-8140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2020-04-20 |