NPI | 1306992342 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL WARMUSKERKEN President 734-721-5442 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002988) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2007-10-22 |