Organization
SOUTHLAND EYE CLINIC, P.C.
Active
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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