| |
38 N Division St, Hesperia, MI 49421-5100 | |
(231) 854-3000 | |
(231) 854-3000 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 38 N Division St, Hesperia, 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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1346546637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Michigan) | Primary |
Mailing Address | Practice Location Address |
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38 N Division St, Hesperia, MI 49421-5100 Ph: (231) 854-3000 | 38 N Division St, Hesperia, MI 49421-5100 Ph: (231) 854-3000 |