Northwest Ophthalmology,pc

NPI 1023205366 - Ophthalmology - 207W00000X

NPI Details
NPI 1023205366
Enumeration Date 10/01/2007
Last Updated 04/09/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GERALD J GERALD
Position PRESIDENT
Phone (248) 352-8815
Fax (248) 352-9157
Practice Location
26771 W 12 MILE RD
SUITE 105
SOUTHFIELD MI, 48034-1539, US
Phone (248) 352-8815
Fax (248) 352-9157
Business Location
26771 W 12 MILE RD
SUITE 105
SOUTHFIELD MI, 48034-1539, US
Phone (248) 352-8815
Fax (248) 352-9157
Toxanomy
Taxonomy Code 207W00000X
License State
License Number
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According to our database, Northwest Ophthalmology,pc NPI is 1023205366, taxonomy code is 207W00000X Northwest Ophthalmology,pc physically located at 26771 W 12 Mile Rd, Southfield MI, 48034-1539. NPI Number 1033115704 has the healthcare provider type.

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1023205366 NPI number is provided on an as is basis without warranty of any kind. 1023205366 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Ophthalmology,pc are for informational purposes only.