Individual
DR. CARL VINCENT POGGIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
15055 22 MILE RD STE 3, SHELBY TOWNSHIP, MI 48315-4401
(586) 239-0303
(586) 436-3537
Mailing address
15055 22 MILE RD STE 3, SHELBY TOWNSHIP, MI 48315-4401
(586) 239-0303
(586) 436-3537
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004394
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5189515
—
MI
05
—
5819551
—
MI
Enumeration date
09/01/2006
Last updated
03/11/2017
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