Individual
DANIEL SCOTT MLNARIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2860 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-9704
(616) 364-8484
Mailing address
2221 VAN DYKE ST, CONKLIN, MI 49403-9597
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004829
MI
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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