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Michigan Ophthalmology Specialists, PLLC

Ophthalmology in Northville, MI. Organization (NPI-2).

NPI number1699486191
StatusActive
Last updated in NPPESOct 16, 2023

Details

NPI
1699486191
Entity type
Organization (NPI-2)
Legal business name
Michigan Ophthalmology Specialists, PLLC
Organization subpart
No
Enumeration date
Dec 6, 2022
Certification date
Oct 13, 2023
Last updated
Oct 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology––Yes

Practice location

40053 8 Mile Rd Ste 100
Northville, MI 48167-1954

Phone 248-449-9292 · Fax 248-449-1081

Mailing address

30150 Telegraph Rd Ste 271
Bingham Farms, MI 48025-4521

Phone 248-395-5175

Authorized official

Beverly Zwicker
Credentialing Manager
3135305494

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