KENNETH JOHN SUPPES

SAGINAW, MI
NPI1972617355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901002383)
Enumeration Date2006-08-19
Last Update Date2007-07-08
Business Address
-- KENNETH JOHN SUPPES OD
1885 N CENTER RD
SAGINAW, MI 48638-5565
Phone number: 989-792-6627
Mailing Address
-- KENNETH JOHN SUPPES OD
1885 N CENTER RD
SAGINAW, MI 48638-5565
Phone number: 989-792-6627
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