Michigan Retina Center, PC

NPI #1164960571 in Dearborn, Michigan

Provider Information

NPI Number: 1164960571
Entity Type: Organization
Organization Name: Michigan Retina Center, PC
Primary Specialty: Ophthalmology
Enumeration Date: Feb 6, 2017
Last Updated: Jul 3, 2024

Practice Location

Address: 25230 MICHIGAN AVE
City: Dearborn
State: Michigan
ZIP Code: 48124-1715
Phone: (313) 441-2227

Authorized Official

Name: ASHEESH TEWARI, M.D.
Title: PHYSICIAN
Phone: (313) 441-2227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology - Retina Specialist — Retina Specialist	207WX0107X
Ophthalmology	207W00000X	Primary

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