Individual
SAQIB S RAZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
47176 MICHIGAN AVE, CANTON, MI 48188-2583
(734) 879-2211
(734) 879-2216
Mailing address
47176 MICHIGAN AVE, CANTON, MI 48188-2583
(734) 879-2211
(734) 879-2216
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004420
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901004420
OPTOMETRY
MI
01
—
530000896
CONTROLLED SUBSTANCE
MI
Enumeration date
09/17/2006
Last updated
07/01/2019
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