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Organization

AGAPE VISION ASSOCIATES P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REGINALD DEAN GRANDISON O.D. (OPTOMETRIST)
(248) 327-6249
Entity
Organization

Contact information

Practice address
24300 SOUTHFIELD RD STE 216, SOUTHFIELD, MI 48075-2859
(248) 327-6249
Mailing address
24300 SOUTHFIELD RD STE 216, SOUTHFIELD, MI 48075-2859
(248) 327-6249

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003700
MI

Other

Enumeration date
06/16/2006
Last updated
11/16/2012
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