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David Susewitz
Optician in Trenton, Michigan
NPI 1417008350

David Susewitz is a Optician based in Trenton, MI and is specialized in Optician. David Susewitz practices in Trenton, MI. The NPI Number for David Susewitz is 1417008350 and holds a License No. (Michigan).

The current practice location address for David 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
person
Provider Profile Details
NPI Number
1417008350
Provider Name
David Susewitz
Credential
Provider Entity Type
Individual
Gender
Male
Address
2644 W Jefferson Ave, Trenton, MI, 48183-2803
Phone Number
734-675-4060
Fax Number
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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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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