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Organization

PCOR, LLC

Active
Parent organization
HENRY FORD HEALTHSYSTEM
Organization subpart
Yes

Provider details

NPI number
Legal business name
HENRY FORD HEALTHSYSTEM
Authorized official
MRS. GAIL ELIAS (DIRECTOR OF FINANCE)
(248) 577-3624
Entity
Organization

Contact information

Practice address
2025 25 MILE RD, SHELBY TOWNSHIP, MI 48316-0941
(248) 651-3937
Mailing address
735 JOHN R RD STE 150, TROY, MI 48083-5859
(248) 588-9300
(248) 588-3355

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004068
MI
332H00000X
Eyewear Supplier

Other

Enumeration date
08/03/2010
Last updated
01/22/2018
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