Organization · Type 2 NPI

East Detroit Ophthalmology P.c.

Specialist · Eastpointe, MI

NPI number 1124181763 Active

Practice location

22835 Kelly Rd
Eastpointe, MI 48021-2073

Fax (586) 778-3642

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XJC026758 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124181763

East Detroit Ophthalmology P.c.'s National Provider Identifier is 1124181763, issued on Dec 18, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Eastpointe, MI. The record was last updated on Mar 1, 2010.