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Individual

DR. TRACY PUTNAM-SCZEPANSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
5100 MARSH RD STE H, OKEMOS, MI 48864-1195
(517) 349-0150
(517) 349-0157
Mailing address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-0316
(517) 337-1779

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005022
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4901005022
STATE LICENSE
MI
Enumeration date
07/31/2014
Last updated
08/17/2023
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