Individual
MARY TERESE MEERNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
872 MUNSON AVE, SUITE B, TRAVERSE CITY, MI 49686-3638
(231) 947-1690
(231) 947-1692
Mailing address
872 MUNSON AVE, SUITE B, TRAVERSE CITY, MI 49686-3638
(231) 947-1690
(231) 947-1692
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002862
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7079623
—
MI
Enumeration date
02/06/2008
Last updated
01/22/2016
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