Individual
DR. ROBERT EMMETT DECK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
81 INDIANWOOD RD, SUITE 1, LAKE ORION, MI 48362-1595
(248) 693-2321
Mailing address
81 INDIANWOOD RD, SUITE 1, LAKE ORION, MI 48362-1595
(248) 693-2321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003566
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324-0332
—
MI
Enumeration date
07/18/2006
Last updated
12/10/2009
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