Individual
KYLE OHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 8TH ST, MANISTEE, MI 49660-2162
(231) 679-2479
Mailing address
390 8TH ST, MANISTEE, MI 49660-2162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2432976
MI
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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