Organization
PARKSIDE EYE CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHULAM DASTGIR (PRESIDENT)
(517) 787-8443
Entity
Organization
Contact information
Practice address
2108 FOURTH STREET, JACKSON, MI 49203-4518
(517) 787-8443
(517) 787-0701
Mailing address
2108 FOURTH STREET, JACKSON, MI 49203-4518
(517) 787-8443
(517) 787-0701
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301036386
MI
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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