Organization
SOUTHLAND EYE CLINIC, P.C.
Active
Other names
Marilyn K. Belamaric, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN K. BELAMARIC M.D. (OWNER/DIRECTOR)
(734) 287-2666
Entity
Organization
Contact information
Practice address
15055 S PLAZA DR, TAYLOR, MI 48180-5202
(734) 287-2666
(734) 287-3864
Mailing address
15055 S PLAZA DR, TAYLOR, MI 48180-5202
(734) 287-2666
(734) 287-3864
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301034114
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM9106
RAILROAD MEDICARE
—
Enumeration date
12/27/2007
Last updated
12/27/2007
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