NPI | 1609518380 |
---|---|
Doing Business As | BERGMAN PORRETTA EYE CENTER |
Entity Type | Organization |
Authorized Contact | HEATHER LESZCZYNSKI Credentialing Manager 248-538-8591 |
Organization Subpart ? | Yes |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2022-04-12 |
Last Update Date | 2022-04-12 |