| |
22039 John R Rd, Hazal Park, MI 48030 | |
(248) 336-3937 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 22039 John R Rd, Hazal Park, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1871674275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | 4301078882 (Michigan) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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888 Brahms, Troy, MI 48085-4894 Ph: () - | 22039 John R Rd, Hazal Park, MI 48030 Ph: (248) 336-3937 |