Individual
PETER J OPPERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
829 W MAIN ST, SUITE E, GAYLORD, MI 49735-1998
(989) 732-6261
(989) 732-1276
Mailing address
829 W MAIN ST, SUITE E, GAYLORD, MI 49735-1998
(989) 732-6261
(989) 732-1276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003972
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F9100
BCBS MI
MI
05
—
4652035
—
MI
Enumeration date
11/10/2005
Last updated
07/25/2011
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