Provider Demographics
NPI:1023022449
Name:JUNKER, CHERYL A (OD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:A
Last Name:JUNKER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:42550 GARFIELD
Mailing Address - Street 2:STE 101
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1644
Mailing Address - Country:US
Mailing Address - Phone:586-263-9708
Mailing Address - Fax:586-263-0280
Practice Address - Street 1:42550 GARFIELD
Practice Address - Street 2:STE 101
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-1644
Practice Address - Country:US
Practice Address - Phone:586-263-9708
Practice Address - Fax:586-263-0280
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003988152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U78127Medicare UPIN
MI0229820002Medicare NSC
MIE06315010Medicare PIN