Individual
DAVID MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 110, LANSING, MI 48912-1800
(517) 364-5875
(517) 364-5877
Mailing address
1200 E MICHIGAN AVE, SUITE 110, LANSING, MI 48912-1800
(517) 364-5875
(517) 364-5877
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33900
ABOC
MI
Enumeration date
07/20/2006
Last updated
07/08/2007
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