Jeannine M Brake-Norder, OD

NPI #1194754879 in Charlotte, Michigan

Provider Information

NPI Number: 1194754879
Entity Type: Individual
Name: Jeannine M Brake-Norder, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 3, 2006
Last Updated: Jun 22, 2010

Practice Location

Address: 123 LANSING STREET
City: Charlotte
State: Michigan
ZIP Code: 48813
Phone: (517) 543-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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