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Ophthalmology Physician

NPI: 1639756968IndividualAccepts Medicare

Specialties, Licenses & Credentials

Ophthalmology PhysicianPrimary

Ophthalmology

Code: 207W00000X

14202512-1205(UT)

CMS Specialties

Education

WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE

Class of 2021

Contact & Hours

Via practice · 2 locations total

Address
36475 FIVE MILE RD
LIVONIA, MI 48154

Quick Facts

NPI
1639756968
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
2
Years in Practice
5

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