Individual
DR. EDWARD KOROT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5030 CASCADE RD SE, GRAND RAPIDS, MI 49546-3725
(616) 954-2020
(616) 949-0408
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A168016
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
4301507112
MI
Other
Enumeration date
06/15/2015
Last updated
01/10/2023
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