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Organization
STANG FAMILY EYECARE PC
Active
Organization
STANG FAMILY EYECARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY D STANG O.D. (OWNER)
(906) 226-8800
Entity
Organization
Contact information
Practice address
622 N 3RD ST, MARQUETTE, MI 49855-3520
(906) 226-8800
(906) 226-8802
Mailing address
622 N 3RD ST, MARQUETTE, MI 49855-3520
(906) 226-8800
(906) 226-8802
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P45990
MEDICARE GROUP NUMBER
MI
01
—
900E21080
BLUE CROSS AND BLUE SHIELD
MI
01
—
P45990001
MEDICARE PROVIDER NUMBER
MI
Enumeration date
11/21/2006
Last updated
05/23/2019
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