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Individual

EMILY KRUEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3192 S LINDEN RD, FLINT, MI 48507-3031
(810) 230-9300
(810) 230-1453
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 468-7370

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005185
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194879023
MI
Enumeration date
02/25/2019
Last updated
02/25/2019
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