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CARLTON J FOSTER O.D.

Eye and Vision Services Providers Optometrist

Provider NPI: 1346233681

Provider Information:
 CARLTON J FOSTER O.D.
Gender: M
Not Sole Proprietor

Practice Location:
1000 WALL ST  ANN ARBOR, MI 48105-1912 US
Tel: 734-764-4190  Fax: --

Business Mailing Address:
3621 S STATE ST 700 KMS PLACE ANN ARBOR, MI 48108 US
Tel: 734-936-2047  Fax: --

NPI Information:
NPI: 1346233681
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
MI4901004190
N152WC0802XEye and Vision Services Providers
Optometrist
MI4901004190
N152WL0500XEye and Vision Services Providers
Optometrist
MI4901004190
N152WP0200XEye and Vision Services Providers
Optometrist
MI4901004190
N152WV0400XEye and Vision Services Providers
Optometrist
MI4901004190
N152WX0102XEye and Vision Services Providers
Optometrist
MI4901004190

Other Provider Identifiers:

IssuerNumberStateType
4570397MI05
4644703MI05
BCBS MICHIGANCF004190MI01



American Medical Association 2012 taxonomy code information

Code: 152W00000X

Type:

Classification:



Definition:



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