| NPI | 1669779039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANTHONY LEEP Owner/President/Professional Corpor 906-482-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: 041617) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |