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Individual

DR. DEANA R PLATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
650 LINDEN ST, SUITE 5, BIG RAPIDS, MI 49307-1880
(231) 796-0010
(231) 796-2496
Mailing address
650 LINDEN ST, SUITE 5, BIG RAPIDS, MI 49307-1880
(231) 796-0010
(231) 796-2496

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003941
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E40039
BLUE CROSS BLUE SHIELD GROUP
MI
01
128029001
ADMINISTAR
MI
01
1619089935
COMMERCIAL INSURERS
MI
01
383209247
VSP
MI
01
655
STERLING VISION
MI
01
900E410210
BCBS OF MI
MI
01
CG0293
MEDICARE RAILROAD GROUP
MI
01
P00195275
MEDICARE RAILROAD
MI
Enumeration date
08/31/2006
Last updated
12/20/2012
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