Northwest Ophthalmology,pc

NPI #1023205366 in Southfield, Michigan

Provider Information

NPI Number: 1023205366
Entity Type: Organization
Organization Name: Northwest Ophthalmology,pc
Primary Specialty: Ophthalmology
Enumeration Date: Oct 1, 2007
Last Updated: Apr 9, 2008

Practice Location

Address: 26771 W 12 MILE RD
Address 2: SUITE 105
City: Southfield
State: Michigan
ZIP Code: 48034-1539
Phone: (248) 352-8815

Authorized Official

Name: DR. GERALD J BURKE, M.D.
Title: PRESIDENT
Phone: (248) 352-8815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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