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Organization

DEREK J DAKE OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEREK J DAKE OD (OWNER)
(906) 322-3312
Entity
Organization

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
(906) 291-2017

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
09/11/2024
Last updated
09/11/2024
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