NPI 1053359125

Mark S Juzych, MDMHSA

Practitioner Ophthalmology Physician Detroit, MI

Practice location

Address: Kresge Eye Institute 4717 St Antoine, Detroit, MI 48201
Phone: (313) 577-8900
Fax: (313) 577-0700
Mailing address: 1560 E Maple Rd Suite 400-Credentialing, Troy, MI 48083-1138

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 4301054761 (MI)

Other Ophthalmology providers in Michigan →

Registry record

NPI: 1053359125
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2006
Record last updated: 13 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.