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Organization

CHARLEVOIX EYE CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JON VANWAGNEN O.D. (OPTOMETRIST)
(989) 916-6168
Entity
Organization

Contact information

Practice address
1008 BRIDGE ST, CHARLEVOIX, MI 49720-1602
(231) 547-7800
Mailing address
1008 BRIDGE ST, CHARLEVOIX, MI 49720-1602

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004725
MI

Other

Enumeration date
06/08/2013
Last updated
08/16/2013
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