Individual
JASON THOMAS SPAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2603 NILES AVE STE A, SAINT JOSEPH, MI 49085-1954
(269) 408-8762
(269) 408-8764
Mailing address
2603 NILES AVE STE A, SAINT JOSEPH, MI 49085-1954
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005697
MI
Other
Enumeration date
05/11/2023
Last updated
10/25/2023
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