Individual
DR. CHAD MARTIN KRESNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
915 W GREEN ST, SUITE 101, HASTINGS, MI 49058-1723
(269) 945-3866
(269) 945-9388
Mailing address
915 W GREEN ST, SUITE 101, HASTINGS, MI 49058-1723
(269) 945-3866
(269) 945-9388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004439
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M43420003
DME
MI
01
—
0Z81066
BCBSM
MN
Enumeration date
07/19/2007
Last updated
08/26/2009
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