Individual
MR. THOMAS BOURDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
3375 MCCRACKEN ST, MUSKEGON, MI 49441-3670
(231) 755-2291
(231) 755-2293
Mailing address
3375 MCCRACKEN ST, MUSKEGON, MI 49441-3670
(231) 755-2291
(231) 755-2293
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/06/2007
Last updated
05/19/2008
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