Kathryn Anne Baruch, O.D.
Optometrist in Royal Oak, MI. Individual provider (NPI-1).
NPI number1215197587
StatusActive
Last updated in NPPESJun 15, 2010
Details
- NPI
- 1215197587
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Anne Baruch
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2008
- Last updated
- Jun 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901004546 | MI | Yes |
Practice location
621 W 11 Mile RdRoyal Oak, MI 48067-2201
Phone 248-541-4200
Mailing address
621 W 11 Mile RdRoyal Oak, MI 48067-2201
Phone 248-541-4200
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