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Etta Marie Thane, ABOC
Optician in Caro, Michigan
NPI 1952092801

Etta Marie Thane is a Optician based in Cass City, MI and is specialized in Optician. Etta Marie Thane practices in Caro, MI and has the professional credentials of ABOC. The NPI Number for Etta Marie Thane is 1952092801 and holds a License No. 157033 (Michigan).

The current practice location address for Etta Marie Thane is 1121 E Caro Rd, Caro, MI and can be reached out via phone at 989-672-2700.

Location: 1121 E Caro Rd, Caro, MI, 48726-1010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952092801
Provider Name
Etta Marie Thane
Credential
ABOC
Provider Entity Type
Individual
Gender
Female
Address
1121 E Caro Rd, Caro, MI, 48726-1010
Phone Number
989-672-2700
Fax Number
Provider Enumeration Date
05/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1121 E Caro Rd
City
Caro
State
Michigan
Zip
48723-1216
Phone Number
989-672-2700
Fax Number
person
Provider Business Mailing Address Details
Address
1121 E Caro Rd
City
Caro
State
Michigan
Zip
48723-1216
Phone Number
989-672-2700
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
157033 (Michigan)
Definition
Definition to come...
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