Individual
DR. NICOLE SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
136 S MAIN ST, EATON RAPIDS, MI 48827-1068
(517) 663-2020
Mailing address
136 S MAIN ST, EATON RAPIDS, MI 48827-1068
(517) 663-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004890
MI
Other
Enumeration date
07/11/2015
Last updated
08/09/2016
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