Individual
DR. RONALD RAYMOND WATSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
43 KRISTIAN ST, SANDUSKY, MI 48471-1035
(810) 648-3100
Mailing address
43 KRISTIAN ST, SANDUSKY, MI 48471-1035
(810) 648-3100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002880
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0198800001
ADMINASTAR
—
Enumeration date
10/17/2005
Last updated
07/08/2007
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