Individual
DR. STEPHEN C MCCLINTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
444 SOUTH FIRST ST, HARRISON, MI 48625
(989) 539-2020
Mailing address
PO BOX 90, HARRISON, MI 48625-0090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900A865020
BCBS
MI
05
—
943247324
—
MI
Enumeration date
10/11/2005
Last updated
05/02/2008
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