Organization
HARBOR RETINA CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK MANGLA (PHYSICIAN)
(810) 356-9700
Entity
Organization
Contact information
Practice address
3273 DAVISON RD STE 1, LAPEER, MI 48446-2902
(810) 356-9700
Mailing address
3273 DAVISON RD STE 1, LAPEER, MI 48446-2902
(810) 356-9700
(810) 356-9700
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
07/18/2022
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