Individual
KATHRYN ANNE BARUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
621 W 11 MILE RD, ROYAL OAK, MI 48067-2201
(248) 541-4200
Mailing address
621 W 11 MILE RD, ROYAL OAK, MI 48067-2201
(248) 541-4200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004546
MI
Other
Enumeration date
06/11/2008
Last updated
06/15/2010
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