Fenton Vision Sensory And Learning Center Pllc | |
1535 N Leroy St Suite D Fenton MI 48430-2791 | |
(810) 629-3070 | |
Not Available |
Full Name | Fenton Vision Sensory And Learning Center Pllc |
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Speciality | Clinic/center - Multi-specialty |
Location | 1535 N Leroy St, Fenton, Michigan |
Authorized Official Name and Position | Cynthia Louise Cupal (PRESIDENT) |
Authorized Official Contact | 8106293070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fenton Vision Sensory And Learning Center Pllc 745 1st St Fenton MI 48430-4103 Ph: (810) 629-3070 | Fenton Vision Sensory And Learning Center Pllc 1535 N Leroy St Suite D Fenton MI 48430-2791 Ph: (810) 629-3070 |
NPI Number | 1750664991 |
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Provider Enumeration Date | 09/23/2011 |
Last Update Date | 09/23/2011 |
Identifier | Type | State | Issuer |
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1750664991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 4901002996 (Michigan) | Primary |
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