Individual
JOHN A WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5055 W BRISTOL RD, FLINT, MI 48507-2922
(810) 732-2272
(810) 732-8470
Mailing address
5055 W BRISTOL RD, FLINT, MI 48507-2922
(810) 732-2272
(810) 732-8470
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
382908096
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180250173
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/31/2006
Last updated
08/12/2010
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