| NPI | 1174974356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY L KENT Owner, Physician 616-888-2948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: MI 4301092933) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-10-05 |