Organization
ASSOCIATED RETINAL CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS TRESE MD (PRESIDENT)
(248) 288-2269
Entity
Organization
Contact information
Practice address
20952 12 MILE RD, 140, ST CLAIR SHORES, MI 48081
(586) 552-2092
(586) 552-2095
Mailing address
2000 N HURON RIVER DR STE 100, YPSILANTI, MI 48197-1600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180Q26082
BCBS GRP #
—
01
—
791183369
MEDICARE RAILROAD GRP #
—
01
—
G00698
BCN GRP #
—
Enumeration date
05/26/2006
Last updated
01/04/2024
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