Individual
BRIDGET CAROLINE GRUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-1668
(517) 337-1779
Mailing address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-0316
(517) 337-1779
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005567
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901005567
STATE LICENSE
MI
Enumeration date
06/06/2022
Last updated
08/16/2023
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