Organization
TODD G STAGNER OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD G. STAGNER (OPTOMETRIST/OWNER)
(269) 963-5640
Entity
Organization
Contact information
Practice address
228 N HELMER RD, SPRINGFIELD, MI 49037-7931
(269) 963-5640
Mailing address
228 N HELMER RD, SPRINGFIELD, MI 49037-7931
(269) 963-5640
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900A312400
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/24/2008
Last updated
02/19/2009
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