Individual
MICHAEL MASAO SCHMALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10285 W MCDOWELL RD STE A102, AVONDALE, AZ 85392-5013
(623) 907-8730
Mailing address
8002 E ONZA AVE, MESA, AZ 85212-1515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002691
AZ
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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