Individual
DR. MATTHEW HULST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4050 RIVER RD STE 1, EAST CHINA, MI 48054-2931
(810) 329-9045
(810) 329-8732
Mailing address
4050 RIVER RD STE 1, EAST CHINA, MI 48054-2931
(810) 329-9045
(810) 329-8732
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005148
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901005148
OPTOMETRIST LICENSE
MI
Enumeration date
07/31/2018
Last updated
07/31/2018
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