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Organization

CUSTOM VISION SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA VRABEC MD (MEDICAL DIRECTOR)
(248) 710-2325
Entity
Organization

Contact information

Practice address
1135 W UNIVERSITY DR STE 155, ROCHESTER, MI 48307-1871
(248) 710-2325
(248) 266-8293
Mailing address
1135 W UNIVERSITY DR STE 155, ROCHESTER, MI 48307-1871
(248) 710-2325
(248) 266-8293

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QS0132X
Ophthalmologic Surgery Clinic/Center

Other

Enumeration date
07/20/2022
Last updated
08/22/2023
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