Individual
JAMES A KALTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2186 W MAIN ST STE 2, LOWELL, MI 49331-8638
(616) 897-2020
Mailing address
10724 WINNIE LN, ALLENDALE, MI 49401-9812
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901005444
MI
152W00000X
Optometrist
Primary
4901006444
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901005444
MICHIGAN LICENSE NUMBER
MI
Enumeration date
06/21/2020
Last updated
02/17/2023
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