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1215175385
MID MICHIGAN RETINA PLC
EAST LANSING, MI
NPI
1215175385
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Entity Type
Organization
Authorized Contact
DIXIE OTTO
Practice Manager
517-455-7545
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: MI 4301068962)
Enumeration Date
2009-01-28
Last Update Date
2021-01-18
Business Address
MID MICHIGAN RETINA PLC
1070 TROWBRIDGE RD
EAST LANSING, MI 48823-5220
Phone number: 517-574-5850
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Mailing Address
MID MICHIGAN RETINA PLC
1070 TROWBRIDGE RD STE 200
EAST LANSING, MI 48823-5220
Phone number: 517-574-5850
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