Individual
JEFFREY J FITZMAURICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
51242 WESTWOOD DR, MACOMB, MI 48042-4286
(586) 350-3141
Mailing address
51242 WESTWOOD DR, MACOMB, MI 48042-4286
(586) 350-3141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003868
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E02492
BCBS
—
Enumeration date
07/10/2006
Last updated
10/31/2008
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