Organization
LAPEER EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY M SOLE M.D. (OWNER)
(810) 664-9945
Entity
Organization
Contact information
Practice address
1005 S LAPEER RD, LAPEER, MI 48446-3038
(810) 664-9945
(810) 664-9955
Mailing address
1005 S LAPEER RD, LAPEER, MI 48446-3038
(810) 664-9945
(810) 664-9955
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1062213
—
MI
01
—
CI9183
RAILROAD MEDICARE
MI
Enumeration date
05/03/2007
Last updated
06/24/2008
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