Organization
FAGELMAN EYEWEAR LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY S FAGELMAN M.D. (PRESIDENT)
(586) 286-6550
Entity
Organization
Contact information
Practice address
39400 GARFIELD RD, 102, CLINTON TOWNSHIP, MI 48038-4096
(586) 286-6550
(586) 286-1843
Mailing address
39400 GARFIELD RD, 102, CLINTON TOWNSHIP, MI 48038-4096
(586) 286-6550
(586) 286-1843
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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