Organization
TAIT EYE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN TAIT M.D., P.H.D. (PHYSICIAN)
(586) 726-2020
Entity
Organization
Contact information
Practice address
44344 DEQUINDRE, 110, STERLING HEIGHTS, MI 48314
(586) 726-2020
(586) 726-2021
Mailing address
44344 DEQUINDRE, 110, STERLING HEIGHTS, MI 48314
(586) 726-2020
(586) 726-2021
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ST074678
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4528043
—
MI
Enumeration date
11/02/2007
Last updated
07/17/2009
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