Individual
JAMES COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2974 28TH ST SE STE A, KENTWOOD, MI 49512-1664
(616) 949-2120
Mailing address
2974 28TH ST SE, KENTWOOD, MI 49512-1664
(313) 529-8168
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005173
MI
Other
Enumeration date
12/20/2018
Last updated
08/16/2019
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