Individual
DR. WILLIAM I DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
904 E MICHIGAN AVE, GRAYLING, MI 49738-1308
(989) 348-3211
(989) 348-7852
Mailing address
PO BOX 416, GRAYLING, MI 49738-0416
(989) 348-3211
(989) 348-7852
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003060
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4152557
—
MI
01
—
900B010050
BCBSM
MI
Enumeration date
10/31/2006
Last updated
12/02/2009
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