Individual
DR. STACY AMBER CRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6680 DIVISION AVE S, GRAND RAPIDS, MI 49548-7834
(616) 455-2525
(616) 455-9135
Mailing address
6680 DIVISION AVE S, GRAND RAPIDS, MI 49548-7834
(616) 455-2525
(616) 455-9135
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005122
MI
Other
Enumeration date
07/19/2018
Last updated
04/08/2020
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