| NPI | 1265688014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ALAN WECKER Optometrist 231-796-5643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003783) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |