| |
123 S Saginaw St, Saint Charles, MI 48655-1403 | |
(989) 865-9979 | |
(989) 865-6686 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 123 S Saginaw St, Saint Charles, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053380865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901002587 (Michigan) | Primary |
Mailing Address | Practice Location Address |
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123 S Saginaw St, Saint Charles, MI 48655-1403 Ph: (989) 865-9979 | 123 S Saginaw St, Saint Charles, MI 48655-1403 Ph: (989) 865-9979 |