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Individual

DR. JODI LYNN KORDYZON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1400 W MAUMEE ST, ADRIAN, MI 49221-1804
(517) 265-5444
Mailing address
1427 WESTHAVEN DR, TECUMSEH, MI 49286-1645
(517) 423-5612

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004049
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4254842
MI
Enumeration date
05/08/2006
Last updated
07/08/2007
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