| NPI | 1902308463 |
|---|---|
| Doing Business As | BALDWIN FAMILY HEATLH CARE VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | JULIE TATKO Administrative Assistant 231-745-2743 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2023-05-30 |