ERIC E MIEDEMA

MODESTO, CA
NPI1336213735
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  OPT9947TPA)
Enumeration Date2006-11-17
Last Update Date2007-12-27
Business Address
Dr. ERIC E MIEDEMA OD
1700 MCHENRY AVENUE SUITE 77
MODESTO, CA 95350-4318
Phone number: 209-524-4626
Mailing Address
Dr. ERIC E MIEDEMA OD
1700 MCHENRY AVENUE SUITE 77
MODESTO, CA 95350-4318
Phone number: 209-524-4626
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