Grand Blanc Opthalmology

NPI #1205301983 in Kalamazoo, Michigan

Provider Information

NPI Number: 1205301983
Entity Type: Organization
Organization Name: Grand Blanc Opthalmology
Primary Specialty: Ophthalmology
Enumeration Date: Oct 9, 2018
Last Updated: Oct 9, 2018

Practice Location

Address: 123 SOUTH WESTNEDGE AVE
City: Kalamazoo
State: Michigan
ZIP Code: 49007-6420
Phone: (269) 343-0377

Authorized Official

Name: MR. YASIER M KANAWATI, MD
Title: MD
Phone: (269) 343-0377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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