DR. Angela Dena Iceberg, O.D.

NPI #1598787749 in Beverly Hills, Michigan

Provider Information

NPI Number: 1598787749
Entity Type: Individual
Name: DR. Angela Dena Iceberg, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 24, 2006
Last Updated: Sep 20, 2018

Practice Location

Address: 31815 SOUTHFIELD RD STE 12
City: Beverly Hills
State: Michigan
ZIP Code: 48025
Phone: (248) 645-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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