| |
123 E Broad St, Linden, MI 48451-9126 | |
(810) 735-9988 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist - Low Vision Rehabilitation |
Location | 123 E Broad St, Linden, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1114373727 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152WL0500X | Optometrist - Low Vision Rehabilitation | 4901004592 (Michigan) | Primary |
Provider Name | Gerianne J Mulanix |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245544949 PECOS PAC ID: 4284806530 Enrollment ID: I20111010000046 |
Provider Name | Kirsten Harwood Donnellon |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376771410 PECOS PAC ID: 3476690371 Enrollment ID: I20131003000296 |
Mailing Address | Practice Location Address |
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7143 W Rolston Rd, Linden, MI 48451-9766 Ph: (810) 735-9988 | 123 E Broad St, Linden, MI 48451-9126 Ph: (810) 735-9988 |
Kirsten Donnellon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 123 E Broad St, Linden, MI 48451 Phone: 810-735-9988 Fax: 810-458-6575 |