Organization
KRESGE EYE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH CHESNEY (RESIDENCY PROGRAM COORDINATOR)
(313) 577-7614
Entity
Organization
Contact information
Practice address
4717 SAINT ANTOINE ST, DETROIT, MI 48201-1423
(313) 577-8900
(313) 577-9675
Mailing address
436 W BRECKENRIDGE ST, FERNDALE, MI 48220-1726
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
4301093190
MI
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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