Individual
BEAU DAVID POQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
200 FAIRBANKS ST, STE 1, IRON MOUNTAIN, MI 49801-1510
(906) 774-8280
(906) 774-8290
Mailing address
200 FAIRBANKS ST STE 1, IRON MOUNTAIN, MI 49801-1510
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
412835
WI
152W00000X
Optometrist
Primary
4901004595
MI
Other
Enumeration date
07/08/2010
Last updated
04/20/2026
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