| NPI | 1568635720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL SWANSON Office Administrator 810-603-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 5101009262) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2009-01-02 |