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Individual

DR. ADAM MICHAEL CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
55 CAMPAU AVE NW, STE 10, GRAND RAPIDS, MI 49503-2642
(616) 459-7380
(616) 459-5752
Mailing address
55 CAMPAU AVE NW, STE 10, GRAND RAPIDS, MI 49503-2642
(616) 459-7380
(616) 459-5752

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003669A
IN
152W00000X
Optometrist
Primary
4901004537
MI

Other

Enumeration date
09/30/2009
Last updated
01/12/2022
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