| NPI | 1891166575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL B KOZLOW Authorized Official 313-626-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301054436) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2017-01-31 |