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)
(248) 395-5166
Entity
Organization
Contact information
Practice address
16530 19 MILE RD, CLINTON TWP, MI 48038-1106
(586) 765-0775
Mailing address
30150 TELEGRAPH RD STE 271, BINGHAM FARMS, MI 48025-4521
(248) 395-5166
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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