Organization
MID-MODERN EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON ZIETZ (BILLING SPECIALIST)
(989) 205-1260
Entity
Organization
Contact information
Practice address
2718 ASHMAN ST, STE A, MIDLAND, MI 48640
(989) 486-3025
Mailing address
2718A ASHMAN ST, MIDLAND, MI 48640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
06/23/2021
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