Great Lakes Eye Surgery Center Llc

NPI 1073798211 - Clinic/Center - 261QA1903X

NPI Details
NPI 1073798211
Enumeration Date 01/07/2008
Last Updated 01/07/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name FARHAD FARHAD
Position MD/OWNER
Phone (989) 793-2820
Fax (989) 793-9132
Practice Location
2393 SCHUST RD
SAGINAW MI, 48603-1334, US
Phone (989) 793-2820
Fax (989) 793-9132
Business Location
2393 SCHUST RD
SAGINAW MI, 48603-1334, US
Phone (989) 793-2820
Fax (989) 793-9132
Toxanomy
Taxonomy Code 261QA1903X
License State Michigan
License Number 4301040619
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According to our database, Great Lakes Eye Surgery Center Llc NPI is 1073798211, taxonomy code is 261QA1903X and license number is 4301040619, license state is located at Michigan. Great Lakes Eye Surgery Center Llc physically located at 2393 Schust Rd, Saginaw MI, 48603-1334. NPI Number 1033115704 has the healthcare provider type.

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1073798211 NPI number is provided on an as is basis without warranty of any kind. 1073798211 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Eye Surgery Center Llc are for informational purposes only.