Organization
RICHARD J. ST. LOUIS O.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JAMES ST. LOUIS O.D. (OPTOMETRIST/PRESIDENT)
(248) 673-7601
Entity
Organization
Contact information
Practice address
4486 W WALTON BLVD, WATERFORD, MI 48329-4073
(248) 673-7601
(248) 673-1317
Mailing address
4486 W WALTON BLVD, WATERFORD, MI 48329-4073
(248) 673-7601
(248) 673-1317
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4901002559
MI
Other
Enumeration date
01/26/2011
Last updated
01/06/2012
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