| NPI | 1639234875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MARVIN VANDERPLAS Ophthalmologist 269-979-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MI PC052043) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI WW4820767) |
| 207W00000X Ophthalmology (Licence: MI RS048655) | |
| 207W00000X Ophthalmology (Licence: MI LV045322) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2015-04-15 |