Male or Other

David Maldonado

Optician in Lansing, MI(View on Map)

Full Name

David Maldonado

NPI Number

1043230105

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/20/2006

Specialties

(Taxonomies)

Code

156FX1800X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1200 E MICHIGAN AVE
1200 E MICHIGAN AVE

City

Lansing
Lansing

State

MI
MI

Postal Code

48912-1800
48912-1800

Country

US
US

Telephone Number

(517) 364-5875
(517) 364-5875

Identifiers

Identifier

33900

Identifier State

MI

Identifier Issuer

ABOC

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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