Organization
WOLVERINE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD PAUL LETOURNEAU SR. OPTICIAN (PRESIDENT)
(989) 463-1838
Entity
Organization
Contact information
Practice address
7314 N ALGER RD, ALMA, MI 48801-1072
(989) 463-1838
Mailing address
7314 N ALGER RD, ALMA, MI 48801-1072
(989) 463-1838
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
MI
Other
Enumeration date
03/17/2007
Last updated
04/24/2008
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