Individual
JASON G TUCHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
33080 UTICA RD, FRASER, MI 48026-2038
(586) 296-7250
(586) 296-0276
Mailing address
PO BOX 26010, FRASER, MI 48026-6010
(586) 296-7250
(586) 296-0276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004164
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5189640
—
MI
05
—
5189650
—
MI
Enumeration date
09/14/2005
Last updated
11/22/2023
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