Individual
DR. THERESIA LOUISE SOBCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1850 ANDERSON RD, PETOSKEY, MI 49770
(231) 439-0078
(231) 439-0080
Mailing address
2790 ESTATE DR, PETOSKEY, MI 49770-8314
(231) 347-4318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003923
MI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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