Individual
DR. MICHAEL QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5433 HIXSON PIKE, HIXSON, TN 37343-3238
(423) 843-2020
Mailing address
5433 HIXSON PIKE, HIXSON, TN 37343-3238
(423) 843-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3177
TN
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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