DR. Douglas Jack Ekholm, OD DOCTOR OF OPTOMET

NPI #1104983808 in Lansing, Michigan

Provider Information

NPI Number: 1104983808
Entity Type: Individual
Name: DR. Douglas Jack Ekholm, OD DOCTOR OF OPTOMET
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD DOCTOR OF OPTOMET
Enumeration Date: Jan 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5417 W SAGINAW HWY
Address 2: CARE OF WALLACE OPTICIANS
City: Lansing
State: Michigan
ZIP Code: 48917
Phone: (517) 323-4027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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