Male or Other

Dr. Douglas J. Ekholm OD DOCTOR OF OPTOMET

Optometrist in Lansing, MI(View on Map)

Full Name

Dr. Douglas Jack Ekholm OD DOCTOR OF OPTOMET

NPI Number

1104983808

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/02/2007

Specialties

(Taxonomies)

Code

152W00000X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

4901002272

Contact
Information

Purpose

Mailing
Location

Address

5417 W SAGINAW HWY
5417 W SAGINAW HWY

City

Lansing
Lansing

State

MI
MI

Postal Code

48917
48917

Country

US
US

Telephone Number

(517) 323-4027
(517) 323-4027

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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