Individual
MR. GERALD N BLAIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
33012 7 MILE RD, LIVONIA, MI 48152-1358
(248) 482-2020
(248) 476-6441
Mailing address
33012 7 MILE RD, LIVONIA, MI 48152-1358
(248) 482-2020
(248) 476-6441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003562
MI
Other
Enumeration date
10/20/2006
Last updated
07/25/2008
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