KEVIN BENJAMIN VANDENBOSCH

JACKSON, MI
NPI1215299367
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901004710)
Enumeration Date2012-06-14
Last Update Date2012-06-14
Business Address
Dr. KEVIN BENJAMIN VANDENBOSCH O.D.
1116 W GANSON ST
JACKSON, MI 49202-4240
Phone number: 877-852-8463
Mailing Address
Dr. KEVIN BENJAMIN VANDENBOSCH O.D.
4615 BREMER ST SW
GRANDVILLE, MI 49418-2239
Phone number: 616-240-5632