| |
20 W Washington St, Ste 7, Clarkson, MI 48346-1572 | |
(248) 625-3500 | |
(248) 625-0025 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 20 W Washington St, Clarkson, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144213083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901002202 (Michigan) | Primary |
Mailing Address | Practice Location Address |
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20 W Washington St, Ste 7, Clarkson, MI 48346-1572 Ph: (248) 625-3500 | 20 W Washington St, Ste 7, Clarkson, MI 48346-1572 Ph: (248) 625-3500 |