Plastic and Reconstructive Eye Surgery PC
NPI #1417998337 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1417998337
- Entity Type
- Organization
- Organization Name
- Plastic and Reconstructive Eye Surgery PC
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Jun 10, 2006
- Last Updated
- Jun 2, 2008
Practice Location
- Address
- 2757 LEONARD ST NE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49525-5807
- Phone
- (616) 942-6687
Authorized Official
- Name
- MELISSA LYNN MELDRUM, M.D.
- Title
- OWNER PRESIDENT
- Phone
- (616) 942-6687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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