MATTHEW BLACK

COMSTOCK PARK, MI
NPI1124512447
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901005112)
Enumeration Date2018-06-20
Last Update Date2020-09-08
Business Address
MATTHEW BLACK OD
3901 ALPINE AVE NW
COMSTOCK PARK, MI 49321-8350
Phone number: 616-647-2213
Mailing Address
MATTHEW BLACK OD
3901 ALPINE AVE NW
COMSTOCK PARK, MI 49321-8350
Phone number: 616-647-2213
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