Organization
EASTSIDE EYE PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE M NACHAZEL MD (PRESIDENT)
(586) 774-2020
Entity
Organization
Contact information
Practice address
25511 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081-3372
(586) 774-2020
Mailing address
25511 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081-3372
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
01/25/2008
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