Individual
DEB GIASEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1170 JORDAN LAKE ST, LAKE ODESSA, MI 48849-1212
(616) 374-3284
(616) 374-2020
Mailing address
1170 JORDAN LAKE ST, LAKE ODESSA, MI 48849-1212
(616) 374-3284
(616) 374-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164718
ABOC
MI
Enumeration date
07/24/2006
Last updated
07/08/2007
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