Individual
DR. MARK D NOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
328 MUNSON AVE, TRAVERSE CITY, MI 49686-3040
(231) 946-8460
(231) 946-8507
Mailing address
328 MUNSON AVE, TRAVERSE CITY, MI 49686-3040
(231) 946-8460
(231) 946-8507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002760
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900B865060
BCBS
—
05
—
945088450
—
MI
Enumeration date
01/05/2006
Last updated
08/03/2011
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