Individual
NELSON GREY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
136 E GRAND RIVER AVE, FOWLERVILLE, MI 48836-5136
(517) 223-9988
(517) 223-9071
Mailing address
136 E GRAND RIVER AVE, PO BOX 618, FOWLERVILLE, MI 48836-5136
(517) 223-9988
(517) 223-9071
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003131
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2770020
—
MI
Enumeration date
11/04/2006
Last updated
10/07/2009
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