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Individual

MORGAN OLLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1124 S STATE ST, BIG RAPIDS, MI 49307-2256
(231) 591-2020
(231) 591-3991
Mailing address
1124 S STATE ST, BIG RAPIDS, MI 49307-2256
(231) 591-2020
(231) 591-3991

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005007
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0784610001
MEDICARE DME
01
0E476020
BLUE CROSS
MI
Enumeration date
08/16/2016
Last updated
08/16/2016
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