Organization
FAMILY VISION CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MARK GOULD OD (PRESIDENT)
(515) 238-3177
Entity
Organization
Contact information
Practice address
3035 CHIPPEWA HWY, MANISTEE, MI 49660-9751
(231) 398-9902
Mailing address
3035 CHIPPEWA HWY, MANISTEE, MI 49660-9751
(231) 398-9902
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1670
IA
Other
Enumeration date
03/10/2006
Last updated
08/22/2007
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