Organization
CADILLAC EYE CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL L DOLAN (PRACTICE MANAGER)
(231) 775-1248
Entity
Organization
Contact information
Practice address
502 COBB ST, CADILLAC, MI 49601-2577
(231) 778-1248
Mailing address
502 COBB ST, CADILLAC, MI 49601-2577
(231) 778-1248
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
RB054351
MI
332H00000X
Eyewear Supplier
RB054351
MI
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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