MICHAELLA MARIE FORD

CHICAGO, IL
NPI1134807506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901005759)
Additional Taxonomies152W00000X Optometrist
(Licence: IL  046011769)
Enumeration Date2023-07-06
Last Update Date2024-07-25
Business Address
MICHAELLA MARIE FORD OD
3241 S MICHIGAN AVE STE 1
CHICAGO, IL 60616-3878
Phone number: 312-949-7119
Mailing Address
MICHAELLA MARIE FORD OD
4499 TOWN CENTER PKWY
FLINT, MI 48532-3425
Phone number: 810-691-2450