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Organization

STANG FAMILY EYECARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NANCY D STANG O.D. (OWNER)
(906) 226-8800
Entity
Organization

Contact information

Practice address
622 N 3RD ST, MARQUETTE, MI 49855-3520
(906) 226-8800
(906) 226-8802
Mailing address
622 N 3RD ST, MARQUETTE, MI 49855-3520
(906) 226-8800
(906) 226-8802

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0P45990
MEDICARE GROUP NUMBER
MI
01
900E21080
BLUE CROSS AND BLUE SHIELD
MI
01
P45990001
MEDICARE PROVIDER NUMBER
MI
Enumeration date
11/21/2006
Last updated
05/23/2019
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