NPI Provider: 1811192537
Contact Name: McLeod Cathy
Position: Office Manager
Phone: (810) 694-6933
Retina Vitreous Center Information:
Retina Vitreous Center organization have npi 1811192537, taxonomy code is 207W00000X with license number is 4301039556 in . This Business address located in 3181 E Grand Blanc Rd, Grand Blanc, MI 48439 Michigan.
Practice Location
Address: 3181 E Grand Blanc Rd, Grand Blanc, MI 48439
Phone: (810) 694-6933
Business Location
Address: 3181 E Grand Blanc Rd, Grand Blanc, MI 48439
Phone: (810) 694-6933
Fax: (810) 694-5295
Taxonomy
Taxonomy Code: 207W00000X
License Number: 4301039556
License Number of State: MI
Primary Taxonomy Switch: Y
Enumeration Date: 6/21/2007
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