Susan Marie Moon O.D.

NPI 1497912174 - Optometrist - 152W00000X

NPI Details
NPI 1497912174
Gender Female
Enumeration Date 05/20/2008
Last Updated 07/31/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
TAWAS CITY MI, 48763-9213, US
Phone (989) 984-0929
Fax (989) 984-0931
Business Location
PO BOX 231
EAST TAWAS MI, 48730-0231, US
Phone (989) 984-0929
Taxonomy Code 152W00000X
License State Michigan
License Number 4901003215
Remove 1497912174 NPI Number

According to our database, Susan Marie Moon O.D. NPI is 1497912174, taxonomy code is 152W00000X and license number is 4901003215, license state is located at Michigan. Susan Marie Moon O.D. physically located at 621 E Lake St, Tawas City MI, 48763-9213. NPI Number Susan Marie Moon O.D. has the Individual type.

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1497912174 NPI number is provided on an as is basis without warranty of any kind. 1497912174 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Marie Moon O.D. are for informational purposes only.