St Clair Shores Mi Ophthalmology Asc LLC
NPI #1326215468 in Saint Clair Shores, Michigan
Provider Information
- NPI Number
- 1326215468
- Entity Type
- Organization
- Organization Name
- St Clair Shores Mi Ophthalmology Asc LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 8, 2008
- Last Updated
- Sep 21, 2022
Practice Location
- Address
- 21711 GREATER MACK AVE
- State
- Michigan
- ZIP Code
- 48080-2418
- Phone
- (586) 774-0393
Authorized Official
- Name
- MR. JEFFREY SNODGRASS
- Title
- PRESIDENT
- Phone
- (615) 665-1283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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