| |
805 Us Highway 41 S, Suite A, Baraga, MI 49908-9669 | |
(906) 353-8100 | |
(906) 353-8101 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 805 Us Highway 41 S, Baraga, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1144495276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901004171 (Michigan) | Primary |
Mailing Address | Practice Location Address |
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805 Us Highway 41 S, Suite A, Baraga, MI 49908-9669 Ph: (906) 353-8100 | 805 Us Highway 41 S, Suite A, Baraga, MI 49908-9669 Ph: (906) 353-8100 |