Individual
MRS. TERESA MARIE ENNIS-DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9575 STATE RD, MILLINGTON, MI 48746-9482
(989) 871-9552
(989) 871-9554
Mailing address
9575 STATE RD, MILLINGTON, MI 48746-9482
(989) 871-9552
(989) 871-9554
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003316
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4743819
—
MI
Enumeration date
08/03/2005
Last updated
07/03/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us