Dr Marie Fox Plc

NPI #1568758209 in Portage, Michigan

Provider Information

NPI Number: 1568758209
Entity Type: Organization
Organization Name: Dr Marie Fox Plc
Primary Specialty: Optometrist
Enumeration Date: Jun 21, 2011
Last Updated: May 12, 2012

Practice Location

Address: 4855 W CENTRE AVE
Address 2: SUITE B
City: Portage
State: Michigan
ZIP Code: 49024-4686
Phone: (269) 375-3937

Authorized Official

Name: DR. MARIE L FOX, O.D.
Title: OWNER/OPTOMETRIST
Phone: (269) 375-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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