Most Relevant Information
Provider Data
| NPI Number: | 1003806696 |
| Provider Name: | DOUGLAS EDWARD ATKINSON OD PLC |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 4901002843 |
Most Important Dates
| Enumeration Date: | 10/25/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
9361 CHERRY VALLEY AVE SE
CALEDONIA
MI
493169506
Practice Location Phone/Fax
| Phone: | 6168914321 |
| Fax: |
Provider Mailing Location
9361 CHERRY VALLEY AVE SE
CALEDONIA
MI
493169506
Provider Mailing Phone/Fax
| Phone: | 6168914321 |
| Fax: |