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Individual

ANN A WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
11225 S SAGINAW ST, GRAND BLANC, MI 48439-1285
(810) 694-3937
(810) 694-9876
Mailing address
11225 S SAGINAW ST, GRAND BLANC, MI 48439-1285
(810) 694-3937
(810) 694-9876

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002877
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09945464
HEALTHPLUS OF MICHIGAN
MI
01
1006992
MCLAREN HEALTHPLAN
01
16485
M-CARE
01
900B511570
BLUE CROSS BLUE SHIELD
MI
05
943020553
MI
Enumeration date
09/28/2006
Last updated
11/21/2013
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