Diana Stewart O.D.

NPI 1104129626 - Optometrist - 152W00000X

NPI Details
NPI 1104129626
Gender Female
Enumeration Date 12/06/2010
Last Updated 07/03/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
1982 W GRAND RIVER AVE
SUITE 815
OKEMOS MI, 48864-1736, US
Phone (517) 349-0785
Fax
Business Location
5210 TWINGING DR
OKEMOS MI, 48864-2977, US
Phone (908) 305-2514
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901004614
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According to our database, Diana Stewart O.D. NPI is 1104129626, taxonomy code is 152W00000X and license number is 4901004614, license state is located at Michigan. Diana Stewart O.D. physically located at 1982 W Grand River Ave, Okemos MI, 48864-1736. NPI Number Diana Stewart O.D. has the Individual type.

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1104129626 NPI number is provided on an as is basis without warranty of any kind. 1104129626 is maintained by the National Plan & Provider Enumeration System. The contents of Diana Stewart O.D. are for informational purposes only.