Individual
EMILY TOMASELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4777 E OUTER DR, SUITE 111, DETROIT, MI 48234-3241
(313) 891-3000
(313) 891-9600
Mailing address
4020 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-9324
(616) 949-2600
(616) 383-0610
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5101021730
MI
Other
Enumeration date
06/23/2015
Last updated
07/13/2020
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