| NPI | 1861576266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 248-703-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 830190) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-03-06 |