Organization
MICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC
Active
Organization
MICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY ZWICKER (CREDENTIALING MANAGER)
(313) 530-5494
Entity
Organization
Contact information
Practice address
40053 8 MILE RD STE 100, NORTHVILLE, MI 48167-1954
(248) 449-9292
(248) 449-1081
Mailing address
30150 TELEGRAPH RD STE 271, BINGHAM FARMS, MI 48025-4521
(248) 395-5175
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
10/16/2023
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