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East Detroit Ophthalmology P.c.
Specialist in Eastpointe, Michigan
NPI 1124181763

East Detroit Ophthalmology P.c. is a Specialist based in Eastpointe, MI. East Detroit Ophthalmology P.c. practices in Eastpointe, MI. The NPI Number for East Detroit Ophthalmology P.c. is 1124181763 and holds a License No. JC026758 (Michigan).

The current practice location address for East Detroit Ophthalmology P.c. is 22835 Kelly Rd, Eastpointe, MI and can be reached out via phone at 586-778-4400 and via fax at 586-778-3642.

Location: 22835 Kelly Rd, Eastpointe, MI, 48021-2073
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124181763
Provider Name
East Detroit Ophthalmology P.c.
Credential
Provider Entity Type
Organization
Address
22835 Kelly Rd, Eastpointe, MI, 48021-2073
Phone Number
586-778-4400
Fax Number
586-778-3642
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3456128 05 MI
OEO7713 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
22835 Kelly Rd
City
Eastpointe
State
Michigan
Zip
48021-2073
Phone Number
586-778-4400
Fax Number
586-778-3642
person
Provider Business Mailing Address Details
Address
22835 Kelly Rd
City
Eastpointe
State
Michigan
Zip
48021-2073
Phone Number
586-778-4400
Fax Number
586-778-3642
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
JC026758 (Michigan)
Definition
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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