Individual
DR. ANDREW JOHN EALOVEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
217 W SHELDON, PLYMOUTH, MI 48170
(734) 453-4870
(734) 453-2849
Mailing address
217 W SHELDON, PLYMOUTH, MI 48170
(734) 453-4870
(734) 453-2849
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003867
MI
Other
Enumeration date
03/07/2006
Last updated
07/08/2007
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