Oculoplastic Associates of West Michigan, Plc
NPI #1174974356 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1174974356
- Entity Type
- Organization
- Organization Name
- Oculoplastic Associates of West Michigan, Plc
- Primary Specialty
- Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery
- Enumeration Date
- Jun 28, 2016
- Last Updated
- Oct 5, 2016
Practice Location
- Address
- 4070 LAKE DR SE
- Address 2
- SUITE 205
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-8294
- Phone
- (616) 888-2948
Authorized Official
- Name
- TIFFANY L KENT, MD, PHD
- Title
- OWNER, PHYSICIAN
- Phone
- (616) 888-2948
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery — Ophthalmic Plastic and Reconstructive Surgery |
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