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Organization

MICHIGAN RETINA CENTER, PC

Active
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Organization

MICHIGAN RETINA CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHEESH TEWARI M.D. (PHYSICIAN)
(313) 441-2227
Entity
Organization

Contact information

Practice address
25230 MICHIGAN AVE, DEARBORN, MI 48124-1715
(313) 441-2227
(313) 441-2241
Mailing address
25230 MICHIGAN AVE, DEARBORN, MI 48124-1715
(313) 441-2227
(313) 441-2241

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary
207WX0107X
Retina Specialist (Ophthalmology) Physician

Other

Enumeration date
02/06/2017
Last updated
07/03/2024
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