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Organization

MI GREAT LAKES EYECARE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH R. BOROWIEC OD (OPTOMETRIST/OWNER)
(646) 241-0810
Entity
Organization

Contact information

Practice address
12 DONOVAN PL, GROSSE POINTE, MI 48230-1935
(646) 241-0810
Mailing address
12 DONOVAN PL, GROSSE POINTE, MI 48230-1935
(646) 241-0810

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
314000000X
Skilled Nursing Facility

Other

Enumeration date
01/28/2021
Last updated
01/28/2021
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