| NPI | 1962115238 |
|---|---|
| Former Legal Business Name | DR. CARRIE DEWOLFE OD PLC |
| Entity Type | Organization |
| Authorized Contact | CARRIE MARIE DEWOLFE Optometrist/Owner 616-891-9245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-06-14 |