Organization
YALDO EYE CENTERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZIN YALDO M.D. (PRESIDENT)
(313) 278-4540
Entity
Organization
Contact information
Practice address
31535 FORD RD, GARDEN CITY, MI 48135-1821
(313) 278-4540
(313) 278-4541
Mailing address
28501 ORCHARD LAKE RD, FARMINGTON HILLS, MI 48334-2951
(248) 553-9800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301051955
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043221187
INDIVIDUAL NPI
MI
Enumeration date
04/28/2017
Last updated
04/28/2017
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