Individual provider · Type 1 NPI

Edward Korot, MD

Retina Specialist (Ophthalmology) Physician · Grand Rapids, MI

NPI number 1669853768 Active

Practice location

5030 Cascade Rd SE
Grand Rapids, MI 49546-3725

Fax (616) 949-0408

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200

Specialties and licenses

TaxonomyCodeLicense
Ophthalmology Physician 207W00000XA168016 (CA)
Retina Specialist (Ophthalmology) Physician Primary 207WX0107X4301507112 (MI)

Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

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About NPI 1669853768

Edward Korot, MD's National Provider Identifier is 1669853768, issued on Jun 15, 2015. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 10, 2023.