Individual
PAUL M DAMLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
20525 MACK AVE, GROSSE POINTE WOODS, MI 48236-1655
(313) 881-6622
(313) 881-9380
Mailing address
20525 MACK AVE, GROSSE POINTE WOODS, MI 48236-1655
(313) 881-6622
(313) 881-9380
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2476
MN
152W00000X
Optometrist
Primary
4901005565
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329316500
—
MN
Enumeration date
07/05/2006
Last updated
08/19/2025
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