Organization
BRICKER B BUSETH
Active
Other names
Mobile Vision
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA BUSETH (DIRECTOR)
(517) 879-7470
Entity
Organization
Contact information
Practice address
2500 REYNOLDS RD, JACKSON, MI 49201-9376
(517) 879-7470
Mailing address
2500 REYNOLDS RD, JACKSON, MI 49201-9376
(517) 879-7470
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/07/2020
Last updated
07/27/2020
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