TODD STANISZEWSKI OD PC
Managed Care Organizations at Dixie Hwy, Clarkston, MI

License number
Michigan 4901003704
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: JANET HURST
Title: BILLING
Phone: (248) 620-1100
Address
Address
7117 Dixie Hwy, Clarkston, MI 48346
National Provider ID: 1730347808
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TODD STANISZEWSKI, O.D., PC

Clarkston, MI

Registration:
Jul 25, 1997
Addresses:
7117 Dixie Hwy, Clarkston, MI 48346 (Physical)
Michigan (Mailing)
State ID:
487910
Business type:
Domestic Professional Service Corporation
Agent:
Todd Staniszewski

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