Male or Other

Dr. David M. Bosak O.D.

Optometrist in Lansing, MI(View on Map)

Full Name

Dr. David Michael Bosak O.D.

NPI Number

1194988790

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/03/2008

Specialties

(Taxonomies)

Code

152W00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

4901004479

Contact
Information

Purpose

Mailing
Location

Address

6425 S PENNSYLVANIA AVE
6425 S PENNSYLVANIA AVE

City

Lansing
Lansing

State

MI
MI

Postal Code

48911-5975
48911-5975

Country

US
US

Telephone Number

(517) 393-2660
(517) 393-2660

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

Data last updated by provider on 07/03/2008

Provider Address

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