Aeg Michigan Professional LLC

NPI #1053032912 in Chesaning, Michigan

Provider Information

NPI Number: 1053032912
Entity Type: Organization
Organization Name: Aeg Michigan Professional LLC
Primary Specialty: Optometrist
Enumeration Date: Sep 8, 2022
Last Updated: Sep 18, 2023

Practice Location

Address: 1555 BRADY ST
City: Chesaning
State: Michigan
ZIP Code: 48616-1022
Phone: (989) 845-7050

Authorized Official

Name: BENJAMIN CHUDNER
Title: OWNER
Phone: (618) 462-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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