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Organization

STEPHEN C MCCLINTIC, O.D. P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA J LAPORTE (OFFICE MANAGER)
(989) 539-2020
Entity
Organization

Contact information

Practice address
444 S 1ST ST, HARRISON, MI 48625-2500
(989) 539-2020
(989) 539-2461
Mailing address
444 S 1ST ST, PO BOX 90, HARRISON, MI 48625-2500
(989) 539-2020
(989) 539-2461

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003123
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3247324
MI
Enumeration date
09/22/2010
Last updated
09/22/2010
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