Healthcare Provider Details

I. General information

NPI: 1194798546
Provider Name (Legal Business Name): CATARACT AND EYE CONSULTANTS OF MI PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 07/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29753 HOOVER RD SUITE A
WARREN MI
48093-8900
US

IV. Provider business mailing address

29753 HOOVER RD SUITE A
WARREN MI
48093-8900
US

V. Phone/Fax

Practice location:
  • Phone: 586-573-4333
  • Fax: 586-573-2149
Mailing address:
  • Phone: 586-573-4333
  • Fax: 586-573-2149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DONALD B MUENK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 586-575-9081