Freewill INC

NPI #1457421109 in Grand Rapids, Michigan

Provider Information

NPI Number: 1457421109
Entity Type: Organization
Organization Name: Freewill INC
Primary Specialty: Optometrist
Enumeration Date: Nov 9, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 6451 28TH ST SE
City: Grand Rapids
State: Michigan
ZIP Code: 49546-6917
Phone: (616) 957-2581

Authorized Official

Name: TIMOTHY D WESTRA
Title: PRESIDENT
Phone: (616) 846-0620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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