Individual
KENNETH JOHN SUPPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1885 N CENTER RD, SAGINAW, MI 48638-5565
(989) 792-6627
Mailing address
1885 N CENTER RD, SAGINAW, MI 48638-5565
(989) 792-6627
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002383
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4742508
—
MI
Enumeration date
08/19/2006
Last updated
07/08/2007
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