Individual
JEFFREY ALAN UNTERBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2306 HARDING HWY, RTE 309, LIMA, OH 45804-3426
(419) 225-7100
(419) 225-7317
Mailing address
140 MACOMB PL, MOUNT CLEMENS, MI 48043-5651
(586) 464-1479
(586) 464-1480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6166T3081
OH
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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