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Individual

JOHN P. HEMMING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1170 JORDAN LAKE ST, LAKE ODESSA, MI 48849-1212
(616) 374-3284
(616) 374-2020
Mailing address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-1668
(517) 337-1779

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002697
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200000002103
PHPMM
MI
05
4487209
MI
05
4487218
MI
01
JH002697
STATE LICENSE NUMBER
MI
01
P00174370
RAILROAD MEDICARE
MI
Enumeration date
12/01/2005
Last updated
09/03/2008
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