| |
2790 W Grand River Ave, Suite 200, Howell, MI 48843-8424 | |
(517) 548-3571 | |
(517) 545-2543 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 2790 W Grand River Ave, Howell, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255463659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1005 Charlevoix Dr Ste 100, Grand Ledge, MI 48837-8186 Ph: (517) 337-1668 | 2790 W Grand River Ave, Suite 200, Howell, MI 48843-8424 Ph: (517) 548-3571 |