Organization
DR. MICHELLE R. TRUMP PC
Active
Other names
Dr. Michelle R. Trump, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE RENEE TRUMP O.D. (PRESIDENT)
(603) 630-3686
Entity
Organization
Contact information
Practice address
750 MAPLE ST, BLOOMSBURG, PA 17815-2908
(603) 630-3686
(570) 329-0190
Mailing address
750 MAPLE ST, BLOOMSBURG, PA 17815-2908
(603) 630-3686
(570) 329-0190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000608
VA
152W00000X
Optometrist
789
NH
152W00000X
Optometrist
OB009154
PA
152W00000X
Optometrist
Primary
OEG001436
PA
Other
Enumeration date
08/11/2006
Last updated
01/22/2014
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