Michael L Sussex Od PC

NPI #1083653497 in Sturgis, Michigan

Provider Information

NPI Number: 1083653497
Entity Type: Organization
Organization Name: Michael L Sussex Od PC
Subpart: Yes (part of a larger organization)
Parent Organization: MICHAEL L SUSSEX OD PC
Primary Specialty: Eyewear Supplier
Enumeration Date: Jun 5, 2006
Last Updated: Aug 5, 2009

Practice Location

Address: 706 S CENTREVILLE RD
City: Sturgis
State: Michigan
ZIP Code: 49091
Phone: (269) 651-2960

Authorized Official

Name: MICHAEL L SUSSEX, OD
Title: PRESIDENT OWNER
Phone: (269) 651-2960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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