Individual
RAMI ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29138 GRATIOT AVE, ROSEVILLE, MI 48066-4152
(586) 541-0747
Mailing address
7232 WESTBURY BLVD, WEST BLOOMFIELD, MI 48322-2813
(586) 443-6956
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005384
MI
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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