Organization
NORTHWEST EYE PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOBIAS VALENTINE GEORGE M.D. (PRESIDENT)
(248) 682-8688
Entity
Organization
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 304, SOUTHFIELD, MI 48075-4825
(248) 569-4366
(248) 569-4614
Mailing address
22250 PROVIDENCE DR, SUITE 304, SOUTHFIELD, MI 48075-4825
(248) 569-4366
(248) 569-4614
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18OF372710
BLUECROSS/BLUE SHIELD NUM
MI
Enumeration date
04/13/2006
Last updated
07/21/2008
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