Organization
ST CLAIR SHORES MI OPHTHALMOLOGY ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
21711 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2418
(586) 774-0393
(586) 777-2214
Mailing address
21711 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2418
(586) 774-0393
(586) 777-2214
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
506812
MI
Other
Enumeration date
05/08/2008
Last updated
09/21/2022
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