Individual
DR. WILLIAM JERRY LINDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
26771 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI 48034-1539
(248) 263-4900
(248) 263-4903
Mailing address
26771 W 12 MILE RD, SUITE 100, SOUTHFIELD, MI 48034-1539
(248) 263-4900
(248) 263-4903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002652
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5088773
—
MI
01
—
900F367240
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
12/02/2006
Last updated
07/09/2012
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