Organization
FORTNEY EYECARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOBETH CARILO (BILLING)
(313) 565-5600
Entity
Organization
Contact information
Practice address
23469 MICHIGAN AVE, DEARBORN, MI 48124-1908
(313) 565-5600
(313) 562-3000
Mailing address
23469 MICHIGAN AVE, DEARBORN, MI 48124-1908
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4901001955
MI
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
Update your record
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