| NPI | 1619957016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SNELL Associate Administrator 517-332-6523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI JW038953) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-08-22 |