Individual
SAMUEL JON MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2001 E BLUEWATER HWY STE 100, IONIA, MI 48846-8725
(616) 522-1000
Mailing address
700 S CASS ST, HASTINGS, MI 49058-2039
(269) 838-4427
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005698
MI
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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