NPI | 1790111904 |
---|---|
Other Name | FERRIS STATE UNIVERSITY |
Entity Type | Organization |
Authorized Contact | JENNY M OSOSKI Medical Record Insurance Specialist 231-591-3056 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004803) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 4901004803) |
Enumeration Date | 2013-09-19 |
Last Update Date | 2013-09-19 |