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Individual

DR. KENNETH I MARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2117 E GRAND RIVER AVE, LANSING, MI 48912-3231
(517) 485-2213
(517) 485-2220
Mailing address
2117 E GRAND RIVER AVE, LANSING, MI 48912-3231
(517) 485-2213
(517) 485-2220

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KM002606
MI
152WS0006X
Sports Vision Optometrist
KM002606
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5060594
MI
01
900C36552
BCBS OF MICHIGAN
MI
Enumeration date
11/02/2005
Last updated
06/28/2010
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