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Individual

DR. JOHN WILLIAM MUIR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
810 E GRAND RIVER AVE, HOWELL, MI 48843-2432
(517) 545-2020
(517) 545-2002
Mailing address
810 E GRAND RIVER AVE, HOWELL, MI 48843-2432
(517) 545-2020
(517) 545-2002

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003945
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4490133
MI
01
90OD700040
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
08/16/2005
Last updated
09/07/2011
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