Organization
NORTHSIDE OPTOMETRIC PRACTICE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY DUANE DOTSON O.D. (OWNER)
(269) 288-8400
Entity
Organization
Contact information
Practice address
100 NORTH AVE, BATTLE CREEK, MI 49017-3417
(269) 288-8400
(269) 963-9202
Mailing address
100 NORTH AVE, BATTLE CREEK, MI 49017-3417
(269) 288-8400
(269) 963-9202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
L951178
MI
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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