Individual
DR. DOUGLAS JACK EKHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD DOCTOR OF OPTOMET
Contact information
Practice address
5417 W SAGINAW HWY, CARE OF WALLACE OPTICIANS, LANSING, MI 48917
(517) 323-4027
(517) 323-1807
Mailing address
5417 W SAGINAW HWY, CARE OF WALLACE OPTICIANS, LANSING, MI 48917
(517) 323-4027
(517) 323-1807
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002272
MI
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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