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Individual

MRS. MARYJO FERENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2550 S TELEGRAPH RD STE 100, BLOOMFIELD HILLS, MI 48302-0951
(248) 258-9000
(248) 499-6372
Mailing address
2550 S TELEGRAPH RD STE 100, BLOOMFIELD HILLS, MI 48302-0951
(248) 258-9000
(248) 499-6372

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1096
NH
152W00000X
Optometrist
125753
IA
152W00000X
Optometrist
2024027128
MO
152W00000X
Optometrist
3960-35
WI
152W00000X
Optometrist
ODP-100639
ID
152W00000X
Optometrist
OEG004118
PA
152W00000X
Optometrist
TPOP199
FL
152WP0200X
Pediatric Optometrist
Primary
4901003317
MI

Other

Enumeration date
05/02/2007
Last updated
09/04/2024
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