Parkside Eye Clinic P.c.

NPI #1861777161 in Jackson, Michigan

Provider Information

NPI Number: 1861777161
Entity Type: Organization
Organization Name: Parkside Eye Clinic P.c.
Primary Specialty: Ophthalmology
Enumeration Date: Oct 18, 2011
Last Updated: Oct 18, 2011

Practice Location

Address: 2108 FOURTH STREET
City: Jackson
State: Michigan
ZIP Code: 49203-4518
Phone: (517) 787-8443

Authorized Official

Name: GHULAM DASTGIR
Title: PRESIDENT
Phone: (517) 787-8443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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