Individual
JUDY ESSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4069 LAKE DR SE, SUITE 315, GRAND RAPIDS, MI 49546-8816
(616) 464-2890
(616) 464-2891
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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