Organization
EATON RAPIDS EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL N WRUBEL O.D. (OWNER)
(517) 663-2020
Entity
Organization
Contact information
Practice address
136 S MAIN ST, EATON RAPIDS, MI 48827-1068
(517) 663-2020
(517) 663-5290
Mailing address
136 S MAIN ST, EATON RAPIDS, MI 48827-1068
(517) 663-2020
(517) 663-5290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000008893
PHP
MI
01
—
200000010064
PHP
MI
01
—
900B311120
BCBSM
MI
05
—
945189927
—
MI
05
—
945189945
—
MI
Enumeration date
04/24/2007
Last updated
11/02/2007
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