Individual
AILEEN N BROUWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
525 W US HIGHWAY 2, NORWAY, MI 49870-1127
(906) 563-5711
(906) 563-9196
Mailing address
525 W US HIGHWAY 2, NORWAY, MI 49870-1127
(906) 563-5711
(906) 563-9196
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002618
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382501645
TAX ID # / COMMERCIAL INS
MI
05
—
3850050
—
WI
01
—
900B210310
BCBS GROUP #
MI
Enumeration date
03/27/2006
Last updated
03/07/2023
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