Provider Demographics
NPI:1699881607
Name:NORI, JOHN B (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:B
Last Name:NORI
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Gender:M
Credentials:DO
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Mailing Address - Street 1:37555 GARFIELD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-3659
Mailing Address - Country:US
Mailing Address - Phone:586-263-5000
Mailing Address - Fax:586-263-5009
Practice Address - Street 1:37555 GARFIELD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-3659
Practice Address - Country:US
Practice Address - Phone:586-263-5000
Practice Address - Fax:586-263-5009
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2008-10-08
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Provider Licenses
StateLicense IDTaxonomies
MIJN006292207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI107232711Medicaid
MI107232711Medicaid
MIE26133Medicare UPIN