Mikaela Jo Betka, OD

NPI #1093199010 in Saint Joseph, Michigan

Provider Information

NPI Number: 1093199010
Entity Type: Individual
Name: Mikaela Jo Betka, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 20, 2015
Last Updated: Jul 20, 2015

Practice Location

Address: 2904 DIVISION ST
City: Saint Joseph
State: Michigan
ZIP Code: 49085-2437
Phone: (269) 983-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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