Staniszewski-Pasqua LLC

NPI #1134365877 in Petoskey, Michigan

Provider Information

NPI Number: 1134365877
Entity Type: Organization
Organization Name: Staniszewski-Pasqua LLC
Subpart: Yes (part of a larger organization)
Parent Organization: STANISZEWSKI-PASQUA LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 31, 2008
Last Updated: Dec 31, 2008

Practice Location

Address: 1159 N US HIGHWAY 31
City: Petoskey
State: Michigan
ZIP Code: 49770-9305
Phone: (231) 347-6054

Authorized Official

Name: LOIS J HIBNER
Title: EXECUTIVE DIRECTOR
Phone: (989) 724-7440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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