Individual
DR. LORETTA NIEDZWIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4190 E COURT ST, STE 893, BURTON, MI 48509-1736
(810) 742-6310
(810) 742-1335
Mailing address
4190 E COURT ST, STE 893, BURTON, MI 48509-1736
(810) 742-6310
(810) 742-1335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003687
MI
Other
Enumeration date
02/12/2007
Last updated
07/31/2007
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