Organization
GRAND BLANC OPTHALMOLOGY
Active
Organization
GRAND BLANC OPTHALMOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YASIER M KANAWATI MD (MD)
(269) 343-0377
Entity
Organization
Contact information
Practice address
123 SOUTH WESTNEDGE AVE, KALAMAZOO, MI 49007-6420
(269) 343-0377
(269) 343-4744
Mailing address
123 SOUTH WESTNEDGE AVE, KALAMAZOO, MI 49007-6420
(269) 343-0377
(269) 343-4744
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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