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Individual

DR. RANDALL EDWARD MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
120 PALUSTER ST, CADILLAC, MI 49601-2532
(231) 775-7341
(231) 775-3925
Mailing address
120 PALUSTER ST, CADILLAC, MI 49601-2532
(231) 775-7341
(231) 775-3925

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002495
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5098279
MI
Enumeration date
10/31/2005
Last updated
06/16/2011
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