FREDERICK MATTHEW NISTA

BIG RAPIDS, MI
NPI1871514596
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MI  4901002465)
Enumeration Date2006-07-21
Last Update Date2007-07-08
Business Address
Dr. FREDERICK MATTHEW NISTA OD
1310 CRAMER CIRCLE PENNOCK 506
BIG RAPIDS, MI 49307-2738
Phone number: 231-591-2222
Mailing Address
Dr. FREDERICK MATTHEW NISTA OD
1310 CRAMER CIRCLE PENNOCK 506
BIG RAPIDS, MI 49307-2738
Phone number: 231-591-2222
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