Organization
BALIAN EYE CENTER, LLC
Active
Other names
Balian Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER TEKIELE OD (CEO)
(810) 853-0409
Entity
Organization
Contact information
Practice address
432 W. UNIVERSITY DR., ROCHESTER, MI 48307
(248) 651-6122
(248) 651-4825
Mailing address
432 W. UNIVERSITY DR., ROCHESTER, MI 48307
(248) 651-6122
(248) 651-4825
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490000121
MC RAILROAD ASC
—
Enumeration date
06/28/2006
Last updated
07/06/2021
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