Gerald N Blaize, Od Corporation

NPI 1467625673 - Optometrist - 152W00000X

NPI Details
NPI 1467625673
Enumeration Date 04/09/2008
Last Updated 06/12/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GERALD NORMAN GERALD
Position PRESIDENT
Phone (248) 482-2020
Fax (248) 476-6441
Practice Location
33012 7 MILE RD
LIVONIA MI, 48152-1358, US
Phone (248) 482-2020
Fax (248) 476-6441
Business Location
33012 7 MILE RD
LIVONIA MI, 48152-1358, US
Phone (248) 482-2020
Fax (248) 476-6441
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901003562
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According to our database, Gerald N Blaize, Od Corporation NPI is 1467625673, taxonomy code is 152W00000X and license number is 4901003562, license state is located at Michigan. Gerald N Blaize, Od Corporation physically located at 33012 7 Mile Rd, Livonia MI, 48152-1358. NPI Number 1033115704 has the healthcare provider type.

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1467625673 NPI number is provided on an as is basis without warranty of any kind. 1467625673 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald N Blaize, Od Corporation are for informational purposes only.