Robert Dean Douglas
Robert Dean Douglas is an Optometrist in Ravenna, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2007
Practice location Address checks out
12412 Stafford StRavenna, MI 48451-0307
Phone: (231) 853-6459
Fax: (231) 853-6459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence MI3937 (MI) |
|---|
Record details
| NPI number | 1861516239 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 19, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | Po Box 307, 12412 Stafford St, Ravenna, MI 49451-0307 |