MEDICARE: DR. JOHN B NORI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	JN006292	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699881607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN B NORI DO

Provider Business Mailing Address
First Line	:	37555 GARFIELD RD
Second Line	:	SUITE 100
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48036-3659
Country	:	US
Telephone Number	:	586-263-5000
Fax Number	:	586-263-5009

Provider Business Practice Location Address
First Line	:	37555 GARFIELD RD
Second Line	:	SUITE 100
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48036-3659
Country	:	US
Telephone Number	:	586-263-5000
Fax Number	:	586-263-5009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	10/08/2008

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Directions to “ DR. JOHN B NORI DO” Practice Location

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