| NPI | 1669553368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET LONG Biller 248-380-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301021236) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MI 4301049740) |
| 207W00000X Ophthalmology (Licence: MI 4301070263) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-09-10 |