Individual
TABYTHA BOYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
131 W WASHINGTON ST, MARQUETTE, MI 49855-4378
(906) 226-2020
Mailing address
9 SCENIC HILLS DR, MARQUETTE, MI 49855-9186
(906) 458-8528
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005443
MI
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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