Individual
MICHAEL PLANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1099 PLEASANT ST, WORCESTER, MA 01602-1267
(508) 756-9513
Mailing address
1099 PLEASANT ST, WORCESTER, MA 01602-1267
(508) 756-9513
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1980
MA
Other
Enumeration date
07/29/2014
Last updated
11/28/2014
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