Individual
TODD G STAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
228 N HELMER RD, SPRINGFIELD, MI 49037-7931
(269) 963-5640
(269) 963-1666
Mailing address
228 N HELMER RD, SPRINGFIELD, MI 49037-7931
(269) 963-5640
(269) 963-1666
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003590
MI
Other
Enumeration date
12/19/2006
Last updated
02/19/2009
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