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Individual

FELICIA SLATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2700 5 MILE RD NE STE 102, GRAND RAPIDS, MI 49525-6516
(616) 361-6612
(616) 361-6690
Mailing address
2700 5 MILE RD NE STE 102, GRAND RAPIDS, MI 49525-6516
(231) 742-2541

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005048
MI

Other

Enumeration date
06/06/2017
Last updated
03/13/2024
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