| NPI | 1871761965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WHITMAN Billing Specialist 517-349-2393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003644) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2014-10-23 |