Albert George Fath III OD

NPI 1023094208 - Optometrist - 152W00000X

NPI Details
NPI 1023094208
Gender Male
Enumeration Date 12/19/2005
Last Updated 02/26/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
142 W UPTON AVE
REED CITY MI, 49677-1130, US
Phone (231) 832-3218
Fax (231) 832-3628
Business Location
142 W UPTON AVE
REED CITY MI, 49677-1130, US
Phone (231) 832-3218
Fax (231) 832-3628
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901002851
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According to our database, Albert George Fath III OD NPI is 1023094208, taxonomy code is 152W00000X and license number is 4901002851, license state is located at Michigan. Albert George Fath III OD physically located at 142 W Upton Ave, Reed City MI, 49677-1130. NPI Number Albert George Fath III OD has the Individual type.

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1023094208 NPI number is provided on an as is basis without warranty of any kind. 1023094208 is maintained by the National Plan & Provider Enumeration System. The contents of Albert George Fath III OD are for informational purposes only.