Individual
DR. DEREK JAMES DAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
504 W HARRIE ST, NEWBERRY, MI 49868-1200
(906) 291-2015
Mailing address
315 W VICTORY WAY, NEWBERRY, MI 49868-1647
(906) 322-3312
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005127
MI
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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