Organization
FARMINGTON LASER EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD C FIANDER MD (PRESIDENT)
(313) 357-3006
Entity
Organization
Contact information
Practice address
25325 FORD RD, SUITE 200, DEARBORN, MI 48128
(313) 357-3006
(313) 724-2455
Mailing address
25325 FORD RD, SUITE 200, DEARBORN, MI 48128
(313) 357-3006
(313) 724-2455
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
DF058932
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1808245461
BCBS OF MICHIGAN
MI
Enumeration date
10/04/2006
Last updated
08/22/2020
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