Beau David Poquette, O.D.

NPI #1649582586 in Iron Mountain, Michigan

Provider Information

NPI Number: 1649582586
Entity Type: Individual
Name: Beau David Poquette, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 8, 2010
Last Updated: Dec 8, 2016

Practice Location

Address: 200 FAIRBANKS ST
Address 2: STE 1
City: Iron Mountain
State: Michigan
ZIP Code: 49801-1510
Phone: (906) 774-8280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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