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Individual

ELHAM DANESHVAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
819 W 14 MILE RD, CLAWSON, MI 48017-1403
(248) 435-2189
(248) 435-2302
Mailing address
140 MACOMB PL, MOUNT CLEMENS, MI 48043-5651
(586) 464-1479
(586) 464-1480

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004871
MI

Other

Enumeration date
09/03/2014
Last updated
09/03/2014
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