Organization
MICHIGAN GLAUCOMA INSTITUTE PC
Active
Other names
yaldo eye center
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA KOCH (BILLER)
(313) 278-4540
Entity
Organization
Contact information
Practice address
24430 FORD RD, DEARBORN HEIGHTS, MI 48127-3280
(313) 278-4540
Mailing address
24430 FORD RD, DEARBORN HEIGHTS, MI 48127-3280
(313) 278-4540
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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