Organization
VITREO-RETINAL CONSULTANTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD CHARLES JOONDEPH M.D. (OWNER)
(586) 228-8400
Entity
Organization
Contact information
Practice address
43800 GARFIELD RD, SUITE 100, CLINTON TOWNSHIP, MI 48038-1136
(586) 228-8400
(586) 228-7031
Mailing address
43800 GARFIELD RD, SUITE 100, CLINTON TOWNSHIP, MI 48038-1136
(586) 228-8400
(586) 228-7031
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301036034
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310966
—
MI
Enumeration date
04/28/2008
Last updated
04/28/2008
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