Individual
DONALD E HAIDERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5416 MICHAEL RD, BAY CITY, MI 48706-3004
(989) 684-9203
Mailing address
5416 MICHAEL RD, BAY CITY, MI 48706-3004
(989) 684-9203
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003099
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4861797
—
MI
Enumeration date
09/15/2006
Last updated
07/09/2007
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