Organization
ASSOCIATED EYE PHYSICIANS OF DEARBORN PC
Active
Other names
Eye Surgery Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY CHASE GRANDON M.D. (DIRECTOR)
(313) 582-8856
Entity
Organization
Contact information
Practice address
15212 MICHIGAN AVE, DEARBORN, MI 48126-3497
(313) 582-8856
(313) 582-8265
Mailing address
15212 MICHIGAN AVE, DEARBORN, MI 48126-3497
(313) 582-8856
(313) 582-8265
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
07/12/2011
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