John S Graves Od PC
Optometrist in Standish, MI. Organization (NPI-2).
NPI number1801257522
StatusActive
Last updated in NPPESJan 5, 2017
Details
- NPI
- 1801257522
- Entity type
- Organization (NPI-2)
- Legal business name
- John S Graves Od PC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2016
- Last updated
- Jan 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901003143 | MI | Yes |
Practice location
105 N Grove StStandish, MI 48658-2508
Phone 989-846-4197 · Fax 989-846-4989
Mailing address
Po Box 576Standish, MI 48658-0576
Phone 989-846-4197 · Fax 989-846-4989
Authorized official
John S Graves
Owner
9898464197
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