Great Lakes Eye Consultants Plc
NPI #1164552972 in Traverse City, Michigan
Provider Information
- NPI Number
- 1164552972
- Entity Type
- Organization
- Organization Name
- Great Lakes Eye Consultants Plc
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Mar 7, 2007
- Last Updated
- May 22, 2018
Practice Location
- Address
- 872 MUNSON AVE
- Address 2
- SUITE B
- City
- Traverse City
- State
- Michigan
- ZIP Code
- 49686
- Phone
- (231) 947-1690
Authorized Official
- Name
- DR. PETER FEDOR, M.D.
- Title
- OWNER
- Phone
- (231) 947-1690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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