EMILY RENAE GILLETTE

GRAND RAPIDS, MI
NPI1386027241
Former NameEMILY RENAE MILLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901004898)
Additional Taxonomies152WC0802X Optometrist, Corneal and Contact Management
(Licence: MI  4901004898)
152WP0200X Optometrist, Pediatrics
(Licence: MI  4901004898)
152WX0102X Optometrist, Occupational Vision
(Licence: MI  4901004898)
Enumeration Date2015-07-09
Last Update Date2015-07-09
Business Address
-- EMILY RENAE GILLETTE OD
5100 28TH ST SE
GRAND RAPIDS, MI 49512-2049
Phone number: 616-233-4403
Mailing Address
-- EMILY RENAE GILLETTE OD
220 MARCELL DR NE APT 2
ROCKFORD, MI 49341-1375
Phone number: 810-814-1266