Individual
DR. MICHAEL EDWARD JONASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
44 S STATE ST, HART, MI 49420-1123
(231) 873-2575
(231) 873-2593
Mailing address
44 S STATE ST, HART, MI 49420-1123
(231) 873-2575
(231) 873-2593
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003163
MI
Other
Enumeration date
11/03/2006
Last updated
02/21/2014
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