NPI 1104983808
Douglas Jack Ekholm, ODDOCTOROFOPTOMET
Practice location
- Address
- 5417 W Saginaw Hwy Care of Wallace Opticians, Lansing, MI 48917
- Phone
- (517) 323-4027
- Fax
- (517) 323-1807
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1104983808
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.