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Individual

DR. RANDALL JOHN RIEMER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
207 E BRIDGE ST, PORTLAND, MI 48875-1436
(517) 647-2020
Mailing address
207 E BRIDGE ST, PORTLAND, MI 48875-1436
(517) 647-2020
(517) 647-7677

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002984
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
94-2913642
MI
Enumeration date
10/13/2005
Last updated
03/18/2017
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