| NPI | 1588722375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEBRE' HARRISON Co Owner 616-776-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI 4301061087) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |