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1770647505
MATTHEW A PARKER
PORTAGE, MI
NPI
1770647505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901004157)
Enumeration Date
2006-12-19
Last Update Date
2021-04-09
Business Address
Dr. MATTHEW A PARKER O.D.
6123 S WESTNEDGE AVE
PORTAGE, MI 49002-2811
Phone number: 269-327-7079
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Mailing Address
Dr. MATTHEW A PARKER O.D.
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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