Organization
GLADSTONE EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA MARIE CAMERON O.D. (PRESIDENT)
(906) 420-8322
Entity
Organization
Contact information
Practice address
20 S 10TH ST, GLADSTONE, MI 49837-1526
(906) 420-8322
(906) 420-8322
Mailing address
20 S 10TH ST, GLADSTONE, MI 49837-1526
(906) 420-8322
(906) 420-8322
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004220
MI
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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