| NPI | 1285913020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BLODGETT Owner 248-761-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: MI 4301075561) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |