| NPI | 1851617591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY NESTOR D.O./Ophthalmologist 734-425-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: MI 5101008206) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |