Individual
MRS. JULIE ANN HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
142 W UPTON AVE, REED CITY, MI 49677-1130
(231) 832-3218
(231) 832-3628
Mailing address
142 W UPTON AVE, REED CITY, MI 49677-1130
(231) 832-3218
(231) 832-3628
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004237
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4734121
—
MI
Enumeration date
12/19/2005
Last updated
02/26/2013
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