Individual
JAMES R VALICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33080 UTICA RD, FRASER, MI 48026-2038
(586) 296-7250
(586) 296-0276
Mailing address
PO BOX 26010, FRASER, MI 48026-6010
(586) 296-7250
(586) 296-0276
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301059391
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
4301059391
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180E061180
BCBS
MI
05
—
4090650
—
MI
05
—
5180636
—
MI
05
—
5180645
—
MI
Enumeration date
09/15/2005
Last updated
10/27/2021
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