Individual
DR. DAVID RAYMOND STOLL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
G3541 MILLER RD, FLINT, MI 48507-1235
(810) 732-8610
(810) 732-6831
Mailing address
G3541 MILLER RD, FLINT, MI 48507-1235
(810) 732-8610
(810) 732-6831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003650
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010350
MCLAREN MEDICAID
MI
01
—
230370
NVA-HERITAGE
MI
01
—
27671
SPECTERA
MI
01
—
31986
EYEMED COLE
MI
01
—
4901003650
EYECARE ALLIANCE
MI
01
—
7333067
AETNA
MI
Enumeration date
05/11/2006
Last updated
07/09/2007
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