person
Mr. Terrence Norton Donovan, BCO
Ocularist in Livonia, Michigan
NPI 1386667517

Terrence Norton Donovan is a Ocularist based in Livonia, MI and is specialized in Ocularist. Terrence Norton Donovan practices in Livonia, MI and has the professional credentials of BCO. The NPI Number for Terrence Norton Donovan is 1386667517 and holds a License No. 5001000008 (Michigan).

The current practice location address for Terrence Norton Donovan is 33612 Schoolcraft Rd, Livonia, MI and can be reached out via phone at 734-425-3430 and via fax at 734-425-8090. You can also correspond with Terrence Norton Donovan through the mailing address at 33612 SCHOOLCRAFT RD, LIVONIA, MI - 48150-1540 (mailing address contact number: 734-425-3430).

Location: 33612 Schoolcraft Rd, Livonia, MI, 48150-1540
person
Provider Profile Details
NPI Number
1386667517
Provider Name
Terrence Norton Donovan
Credential
BCO
Provider Entity Type
Individual
Gender
Male
Address
33612 Schoolcraft Rd, Livonia, MI, 48150-1540
Phone Number
734-425-3430
Fax Number
734-425-8090
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5090486 05 MI
540Q20959 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
33612 Schoolcraft Rd
City
State
Zip
48150-1540
Phone Number
734-425-3430
Fax Number
734-425-8090
person
Provider Business Mailing Address Details
Address
33612 Schoolcraft Rd
City
State
Zip
48150-1540
Phone Number
734-425-3430
Fax Number
734-425-8090
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
License No.
5001000008 (Michigan)
Definition
Definition to come...
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