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Organization

STADIUM OPTICIANS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES R. MELDRUM OPTICIAN (PRES.)
(734) 663-0870
Entity
Organization

Contact information

Practice address
2333 W STADIUM BLVD, ANN ARBOR, MI 48103-3844
(734) 663-0870
(734) 761-5242
Mailing address
2333 W STADIUM BLVD, ANN ARBOR, MI 48103-3844
(734) 663-0870
(734) 761-5242

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
01/18/2007
Last updated
05/27/2008
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