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General NPI Number Information
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NPI Number | 1447557764
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Entity Type | Organization
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Legal Business Name | CHESTERFIELD EYE CARE P.C.
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Dates
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Enumeration Date | 02/23/2011
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 27903 23 MILE RD
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City | CHESTERFIELD
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State | MI
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Zip | 48051-2328
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Country | US
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Telephone | 586-598-3937
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Fax | 586-598-3941
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Provider Business Mailing Address
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Address Line | 8703 26 MILE RD
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City | WASHINGTON
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State | MI
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Zip | 48094-2967
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Country | US
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Telephone | 586-992-3700
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Fax | 586-992-3706
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MICHAEL P WEISGERBER
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Credential | OD
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Telephone | 586-598-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number |
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State | MI
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