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Individual

MICHAEL JAMES PACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
38979 CHERRY HILL RD UNIT B, WESTLAND, MI 48186-3200
(734) 326-2160
(734) 326-9678
Mailing address
38979 CHERRY HILL RD UNIT B, WESTLAND, MI 48186-3200
(734) 326-2160
(734) 326-9678

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
490100444
MI
152WC0802X
Corneal and Contact Management Optometrist
4901004444
MI
152WP0200X
Pediatric Optometrist
490100444
MI
152WV0400X
Vision Therapy Optometrist
4901004444
MI

Other

Enumeration date
09/10/2007
Last updated
04/15/2022
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