Clarkston Vision Llc

NPI 1033262217 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1033262217
Enumeration Date 01/19/2007
Last Updated 02/25/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JENNIFER LYNN JENNIFER
Position OWNER
Phone (248) 620-2033
Fax (248) 620-3809
Practice Location
7196 N MAIN ST
CLARKSTON MI, 48346-1571, US
Phone (248) 620-2033
Fax (248) 620-3809
Business Location
8110 SLEEPY TIME CT
CLARKSTON MI, 48348-2652, US
Phone
Fax
Toxanomy
Taxonomy Code 305R00000X
License State
License Number
Remove 1033262217 NPI Number
 

According to our database, Clarkston Vision Llc NPI is 1033262217, taxonomy code is 305R00000X Clarkston Vision Llc physically located at 7196 N Main St, Clarkston MI, 48346-1571. NPI Number 1033115704 has the healthcare provider type.

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1033262217 NPI number is provided on an as is basis without warranty of any kind. 1033262217 is maintained by the National Plan & Provider Enumeration System. The contents of Clarkston Vision Llc are for informational purposes only.