Individual
BENJAMIN SALVATORE MANIACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
35184 CENTRAL CITY PKWY, WESTLAND, MI 48185-6215
(734) 427-5200
(734) 427-8136
Mailing address
655 W 13 MILE RD, MADISON HEIGHTS, MI 48071-1850
(248) 577-3659
(248) 588-9320
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004519
MI
Other
Enumeration date
12/17/2009
Last updated
03/11/2014
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