Individual
DR. TATJANA ALEXANDRA JASMIN RATZENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
735 JOHN R RD, TROY, MI 48083-5856
(248) 544-3290
(248) 528-4040
Mailing address
735 JOHN R RD, TROY, MI 48083-5856
(248) 544-3290
(248) 528-4040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004456
MI
152WC0802X
Corneal and Contact Management Optometrist
4901004456
MI
152WL0500X
Low Vision Rehabilitation Optometrist
4901004456
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679729685
—
MI
Enumeration date
08/10/2008
Last updated
03/11/2014
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