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Individual

CORBETT WALTER AMBURGEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D

Contact information

Practice address
5575 BECKLEY RD, BATTLE CREEK, MI 49015-4162
(269) 979-1277
(269) 979-8040
Mailing address
86 E HALLETT ST, HILLSDALE, MI 49242-2080
(517) 439-4136

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004183
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900A311420
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/16/2007
Last updated
07/08/2007
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