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Organization
ST CLAIR SHORES MI OPHTHALMOLOGY ASC LLC
Active
Organization
ST CLAIR SHORES MI OPHTHALMOLOGY ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
21711 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2418
(586) 774-0393
(586) 777-2214
Mailing address
21711 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2418
(586) 774-0393
(586) 777-2214
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
506812
MI
Other
Enumeration date
05/08/2008
Last updated
09/21/2022
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