Organization
RETINAL SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE WERNER MD (MANAGER)
(248) 543-8070
Entity
Organization
Contact information
Practice address
5333 MCAULEY DR, SUITE 4011, YPSILANTI, MI 48197-1014
(248) 543-8070
Mailing address
PO BOX 2804, ANN ARBOR, MI 48106-2804
(248) 543-8070
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180H115340
BCBS GROUP NUMBER
MI
05
—
4229750
—
MI
Enumeration date
07/10/2006
Last updated
06/09/2009
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