Individual
MR. TODD EDWARD STANISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5874 DIXIE HWY, CLARKSTON, MI 48346-3358
(248) 620-1100
(248) 620-1196
Mailing address
5874 DIXIE HWY, CLARKSTON, MI 48346-3358
(248) 620-1100
(248) 620-1196
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003704
MI
Other
Enumeration date
08/09/2006
Last updated
05/21/2021
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