Phillip R Elston, OD

NPI #1205829629 in Birmingham, Michigan

Provider Information

NPI Number: 1205829629
Entity Type: Individual
Name: Phillip R Elston, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 31, 2005
Last Updated: Aug 25, 2020

Practice Location

Address: 970 S OLD WOODWARD AVE
City: Birmingham
State: Michigan
ZIP Code: 48009-6726
Phone: (248) 369-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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