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Dr. Marie Louise Fox, O.D.

Optometrist in Portage, MI. Individual provider (NPI-1).

NPI number1790773646
StatusActive
Last updated in NPPESApr 13, 2010

Details

NPI
1790773646
Entity type
Individual (NPI-1)
Name
Dr. Marie Louise Fox
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 13, 2005
Last updated
Apr 13, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist4901004197MIYes

Practice location

6101 Newport Rd
Ste A
Portage, MI 49002-9233

Phone 269-382-6500 · Fax 269-382-2286

Mailing address

6101 Newport Rd
Ste A
Portage, MI 49002-9233

Phone 269-382-6500 · Fax 269-382-2286

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