Individual
DR. ANDREW B MICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4150 CLEMENT ST # 112A, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
494 29TH AVE APT 5, SAN FRANCISCO, CA 94121-1748
(415) 378-0028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11996T
CA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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