Organization
TUKEL -KOZLOW EYE CENTER, PC
Active
Organization
TUKEL -KOZLOW EYE CENTER, PC
Active
Other names
Tukel Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRUCE TUKEL MD (PRESIDENT)
(313) 274-7540
Entity
Organization
Contact information
Practice address
1922 MONROE ST, DEARBORN, MI 48124-2917
(313) 274-7540
(313) 274-7544
Mailing address
1922 MONROE ST, DEARBORN, MI 48124-2917
(313) 274-7540
(313) 274-7544
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OH24984
BLUE CROSS GROUP NUMBER
MI
Enumeration date
05/18/2007
Last updated
07/30/2020
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