Organization
LASIK CENTERS OF MICHIGAN PC
Active
Organization
LASIK CENTERS OF MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD C FIANDER MD (PRESIDENT)
(313) 357-3006
Entity
Organization
Contact information
Practice address
25325 FORD RD, SUITE 200, DEARBORN, MI 48128-1086
(313) 357-3006
(313) 724-2455
Mailing address
25325 FORD RD, SUITE 200, DEARBORN, MI 48128-1086
(313) 357-3006
(313) 724-2455
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
DF058932
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1808245461
BCBS MI
MI
Enumeration date
05/25/2007
Last updated
08/22/2020
Update your record
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