Organization
CHILDRENS EYE CARE DETROIT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DENIS ROARTY MD (CHIEF OF OPHTHALMOLOGY)
(313) 561-4466
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN, DETROIT, MI 48201
(313) 745-0968
(313) 561-8044
Mailing address
3901 BEAUBIEN, DETROIT, MI 48201
(313) 745-0968
(313) 561-8044
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2786835
—
MI
Enumeration date
03/30/2006
Last updated
01/06/2012
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