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Organization

MICHAEL E JONASSEN, O.D. P.C.

Active
Other names
Oceana Eyecare
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL E JONASSEN O.D. (PRESIDENT)
(231) 873-2575
Entity
Organization

Contact information

Practice address
44 S STATE ST, HART, MI 49420-1123
(231) 873-2575
(231) 873-2593
Mailing address
44 S STATE ST, HART, MI 49420-1123
(231) 873-2575
(231) 873-2593

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003163
MI
332B00000X
Durable Medical Equipment & Medical Supplies
4901003163
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2644375
MI
Enumeration date
08/24/2007
Last updated
07/22/2009
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