Whalio Doctors

NPI 1104983808

Douglas Jack Ekholm, ODDOCTOROFOPTOMET

Practitioner Optometrist Lansing, MI

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
Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901002272 (MI)

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.