BLAZE SAMMON

IRON MOUNTAIN, MI
NPI1093442121
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901005661)
Enumeration Date2022-08-08
Last Update Date2025-10-16
Business Address
Dr. BLAZE SAMMON OD
W8159 S US HIGHWAY 2/141 STE 102
IRON MOUNTAIN, MI 49801-9423
Phone number: 906-779-9164
Mailing Address
Dr. BLAZE SAMMON OD
W1974 BEAVER PETE RD
VULCAN, MI 49892-8226
Phone number: 616-710-9939
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