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Individual

DR. C. STEVEN KOCKS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1885 N CENTER RD, SAGINAW, MI 48638-5565
(989) 792-8686
(989) 792-8382
Mailing address
5319 OAKBROOK DR, SAGINAW, MI 48603-8617
(989) 793-9383

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
490100 3083
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01000819
HEALTH PLUS
MI
05
4742203
MI
01
490100 3083
STATE LICENSE NUMBER
MI
Enumeration date
09/13/2005
Last updated
03/07/2023
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