Individual
ETHAN JARED DUPUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
17228 COVE DR, NORTHVILLE, MI 48168-2288
(810) 908-8930
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005904
MI
Other
Enumeration date
05/27/2025
Last updated
04/27/2026
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