Individual
DR. JENNIFER ANN CIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
23320 FORD RD, DEARBORN HEIGHTS, MI 48127
(313) 562-4733
(313) 562-1606
Mailing address
34771 BRIDGE ST, LIVONIA, MI 48152
(248) 476-9792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003863
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H28064
BCBS
MI
05
—
2731935
—
MI
Enumeration date
02/09/2007
Last updated
10/20/2011
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