Individual
NATHAN G BAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
515 S UNION ST, TRAVERSE CITY, MI 49684-3246
(231) 946-0333
(231) 946-1665
Mailing address
515 S UNION ST, TRAVERSE CITY, MI 49684-3246
(231) 946-0333
(231) 946-1665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NB004139
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900B811100
BCBS
MI
05
—
944717597
—
MI
05
—
944770039
—
MI
Enumeration date
12/14/2006
Last updated
08/24/2010
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