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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
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