Individual
DR. DAVID A. GOURWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
HENRY FORD OPHTHALMOLOGY - GROSSE POINTE PARK, 15401 E. JEFFERSON AVE., GROSSE POINTE PARK, MI 48230
(313) 824-9359
Mailing address
HENRY FORD HOSPITAL - GROSSE POINTE OPHTHALMOLOGY, 15401 E. JEFFERSON AVE., GROSSE POINTE PARK, MI 48230
(313) 824-9359
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
4901002541
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271945894
—
MI
01
—
900H263870
BLUE CROSS-BLUE CROSS
—
01
—
DG002541
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
02/26/2007
Last updated
03/31/2021
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