Individual
DR. ALBERT DEFEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
19329 MACK AVE, GROSSE POINTE WOODS, MI 48236-2833
(313) 881-3249
(313) 881-0124
Mailing address
19329 MACK AVE, GROSSE POINTE WOODS, MI 48236-2833
(313) 881-3249
(313) 881-0124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002376
MI
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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