Organization
JOHN S GRAVES OD PLC
Active
Other names
John Smith Graves
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S GRAVES O.D. PLC (OWNER/OPTOMETRIST)
(989) 846-4197
Entity
Organization
Contact information
Practice address
105 N GROVE ST, STANDISH, MI 48658-0576
(989) 846-4197
(989) 846-4989
Mailing address
105 N GROVE ST, PO BOX 576, STANDISH, MI 48658-0576
(989) 846-4197
(989) 846-4989
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4901003143
MI
Other
Enumeration date
04/18/2008
Last updated
02/17/2012
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