NPI | 1538214119 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK D WEINGARTEN Ophthalmologist 248-650-2255 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI MW054440) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI MW054440) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-02-17 |