Individual
DR. CHRISTINE A JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
325 N LILLEY RD, CANTON, MI 48187-3908
(734) 981-2700
(734) 981-0198
Mailing address
325 N LILLEY RD, CANTON, MI 48187-3908
(734) 981-2700
(734) 981-0198
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003955
MI
Other
Enumeration date
08/18/2006
Last updated
08/26/2024
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