Individual
FERRIS R STANDIFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3412 W CENTRE AVE, PORTAGE, MI 49024-4624
(269) 329-5870
(269) 329-5865
Mailing address
3412 W CENTRE AVE, PORTAGE, MI 49024-4624
(269) 329-5870
(269) 329-5865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003034
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4073524
—
MI
Enumeration date
04/11/2006
Last updated
07/08/2007
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