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Individual

MR. DAVID C MCCLINTIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
6123 S WESTNEDGE AVE, PORTAGE, MI 49002-2811
(269) 327-7079
(269) 327-7165
Mailing address
1700 S PARK, KALAMAZOO, MI 49001
(269) 342-0003
(269) 342-4284

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002757
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053339598
MI
Enumeration date
07/17/2006
Last updated
03/25/2015
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