Organization
DIETRICH PC
Active
Other names
Harrisville Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS JEAN WESTERGARD (OFFICE MANAGER)
(989) 724-7440
Entity
Organization
Contact information
Practice address
300 N STATE ST, HARRISVILLE, MI 48740-9693
(989) 724-7440
(989) 724-7531
Mailing address
300 N STATE ST, HARRISVILLE, MI 48740-9693
(989) 724-7440
(989) 724-7531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004764
MI
152WV0400X
Vision Therapy Optometrist
4901004764
MI
Other
Enumeration date
03/28/2014
Last updated
07/14/2023
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