Organization
JOHN J DEGROOT OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J DEGROOT O.D. (PRESIDENT)
(231) 347-3298
Entity
Organization
Contact information
Practice address
614 HOWARD ST, PETOSKEY, MI 49770-2724
(231) 347-3298
(231) 347-0564
Mailing address
614 HOWARD ST, PETOSKEY, MI 49770-2724
(231) 347-3298
(231) 347-0564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
JD002327
MI
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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