Organization
MEDICAL EYE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY H. STOLICKER O.D. (OWNER/OPTOMETRIST)
(989) 729-1519
Entity
Organization
Contact information
Practice address
1621 E M 21, OWOSSO, MI 48867-9053
(989) 729-1519
(989) 728-7823
Mailing address
1621 E M 21, OWOSSO, MI 48867-9053
(989) 729-1519
(989) 728-7823
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4901004432
MI
Other
Enumeration date
08/04/2009
Last updated
08/31/2012
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