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Individual

DR. SAMUEL S ESTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2117 E GRAND RIVER AVE, LANSING, MI 48912-3231
(517) 485-2213
(517) 485-2220
Mailing address
2117 E GRAND RIVER AVE, LANSING, MI 48912-3231
(517) 485-2213
(517) 485-2220

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SE003722
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900C36631
BCBS OF MICHIGAN
MI
05
943120432
MI
Enumeration date
10/19/2005
Last updated
06/28/2010
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