Organization
NORTHWEST EYE PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCHELLE MANN (BILLING MANAGER)
(248) 569-4366
Entity
Organization
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 440, NOVI, MI 48374-1213
(248) 380-8280
(248) 380-8411
Mailing address
22250 PROVIDENCE DR, SUITE 304, SOUTHFIELD, MI 48075-4825
(248) 569-4366
(248) 569-4614
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
MI
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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