Organization
MJ OPTOMETRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA JOHNSONBAUGH (PRESIDENT)
(586) 872-2102
Entity
Organization
Contact information
Practice address
31873 GRATIOT AVE, ROSEVILLE, MI 48066-4527
(586) 872-2102
Mailing address
PO BOX 617, ROSEVILLE, MI 48066-0617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004540
MI
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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