Individual
MEAGAN JANELLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1000 WALL ST, ANN ARBOR, MI 48105-1912
(734) 764-4190
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3693
WI
152W00000X
Optometrist
Primary
4901005623
MI
Other
Enumeration date
04/06/2021
Last updated
08/08/2022
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