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David H Susewitz
Optician in Trenton, Michigan
NPI 1053594572

David H Susewitz is a Optician based in Trenton, MI and is specialized in Optician. David H Susewitz practices in Trenton, MI. The NPI Number for David H Susewitz is 1053594572 and holds a License No. (Michigan).

The current practice location address for David H Susewitz is 2644 W Jefferson Ave, Trenton, MI and can be reached out via phone at 734-675-4060.

Location: 2644 W Jefferson Ave, Trenton, MI, 48183-2803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053594572
Provider Name
David H Susewitz
Credential
Provider Entity Type
Organization
Address
2644 W Jefferson Ave, Trenton, MI, 48183-2803
Phone Number
734-675-4060
Fax Number
Provider Enumeration Date
12/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
900H21185 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2644 W Jefferson Ave
City
Trenton
State
Michigan
Zip
48183-2803
Phone Number
734-675-4060
Fax Number
person
Provider Business Mailing Address Details
Address
2644 W Jefferson Ave
City
Trenton
State
Michigan
Zip
48183-2803
Phone Number
734-675-4060
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
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