Healthcare Provider Details

I. General information

NPI: 1699798660
Provider Name (Legal Business Name): GROSINGER SPIGELMAN & GREY EYE SURGEONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 11/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 S TELEGRAPH SUITE 205
BLOOMFIELD TOWNSHIP MI
48302
US

IV. Provider business mailing address

1750 S TELEGRAPH #205
BLOOMFIELD HILLS MI
48302
US

V. Phone/Fax

Practice location:
  • Phone: 248-333-2900
  • Fax: 248-333-3539
Mailing address:
  • Phone: 248-333-2900
  • Fax: 248-333-3539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE M WEAVER
Title or Position: BILLING MGR
Credential:
Phone: 248-333-2900