Individual
DR. JEFFREY SCOTT DUDOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6650 HIGHLAND RD, 118, WATERFORD, MI 48327-1660
(248) 666-3377
(248) 666-4332
Mailing address
6650 HIGHLAND RD, 118, WATERFORD, MI 48327
(248) 666-3377
(248) 666-4332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003921
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4535834
—
MI
01
—
900F33411
BLUE CROSS
—
Enumeration date
06/06/2006
Last updated
05/06/2008
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