| NPI | 1427121185 |
|---|---|
| Former Legal Business Name | TAD BARTZ OD PC |
| Entity Type | Organization |
| Authorized Contact | BARBARA L GRAULAU Insurance Biller 989-463-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI JS002928) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI PT003275) |
| 152W00000X Optometrist (Licence: MI TB003749) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |