DR. Alice Marie Bacak, O.D.

NPI #1669470159 in South Haven, Michigan

Provider Information

NPI Number
1669470159
Entity Type
Individual
Name
DR. Alice Marie Bacak, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jul 8, 2005
Last Updated
Mar 12, 2008

Practice Location

Address
1088 S BAILEY AVE
Address 2
SUITE B
ZIP Code
49090-9728
Phone
(269) 637-1442

Specialties & Taxonomy Codes

Specialty
Optometrist

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