| NPI | 1760670582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERN JAY CAMPBELL Owner/President 231-487-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI VC059657) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2008-05-19 |