| NPI | 1225278880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH M DROSTE Administrator 616-957-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: MI 003979) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2020-04-21 |