Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 4901005388 | MI |
NPI | 1013561299 |
---|---|
Provider Name | Dr. Claire Louise Starling |
First Address | Caro, MI 48723-0342 |
Second Address | Caro, MI 48723-1550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2019 |
Last Update Date | 26/07/2019 |