NPI | 1184953150 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE LYNNE LANGKAWEL Optometrist 517-648-0415 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AL SB48TA730) |
Enumeration Date | 2009-12-21 |
Last Update Date | 2009-12-21 |