Individual
DR. TERESA M SEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
52883 N MAIN ST, MATTAWAN, MI 49071-8309
(269) 668-5558
Mailing address
52883 N MAIN ST, MATTAWAN, MI 49071-8309
(269) 668-5558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003899
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4474499
—
MI
Enumeration date
09/02/2006
Last updated
07/08/2007
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