PEDIATRIC OPHTHALMOLOGY PC
Medical Practice at Cascade Rd, Grand Rapids, MI

License number
Michigan 003979
Category
Optometry
Type
Pediatrics
License number
Michigan 047600
Category
Medical Practice
Type
Ophthalmology
Owner
Name: MRS. DEBORAH M DROSTE RN BSN
Title: ADMINISTRATOR
Phone: (616) 957-0866
Address
Address
5050 Cascade Rd SE, Grand Rapids, MI 49546
National Provider ID: 1225278880
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEDIATRIC OPHTHALMOLOGY, PC

5050 Cascade Rd SE, Grand Rapids, MI 49546

Registration:
Jan 19, 1990
Phone:
(616) 957-0866 (Phone)
State ID:
348854
Business type:
Domestic Professional Service Corporation
Agent:
Patrick J. Droste
Categories:
Ophthalmology Physicians & Surgeons, Physicians & Surgeons

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