Individual
DR. AVESH RAGHUNANDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., PHD
Contact information
Practice address
1310 CRAMER CIR, PENNOCK 506, BIG RAPIDS, MI 49307-2736
(231) 591-2222
(231) 591-3991
Mailing address
1310 CRAMER CIR, PENNOCK 506, BIG RAPIDS, MI 49307-2736
(231) 591-2222
(231) 591-3991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004409
MI
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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