Organization
JEFFREY NESTOR, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY NESTOR D.O. (D.O./OPHTHALMOLOGIST)
(734) 425-2514
Entity
Organization
Contact information
Practice address
28900 JOY RD, LIVONIA, MI 48150-4031
(734) 425-2514
(734) 425-2514
Mailing address
28900 JOY RD, LIVONIA, MI 48150-4031
(734) 425-2514
(734) 425-2514
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
5101008206
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831201
—
MI
Enumeration date
04/19/2010
Last updated
04/19/2010
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