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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