Individual
MICHAEL WARMUSKERKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
35119 E MICHIGAN AVE, WAYNE, MI 48184-1660
(734) 721-5442
(734) 721-5532
Mailing address
35119 E MICHIGAN AVE, WAYNE, MI 48184-1660
(734) 721-5442
(734) 721-5532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002988
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4287226
—
MI
Enumeration date
08/16/2007
Last updated
08/16/2007
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