Individual
MANHO JANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2825 28TH ST SE, SUITE B, GRAND RAPIDS, MI 49512-1607
(616) 745-6454
Mailing address
2825 28TH ST SE, SUITE B, GRAND RAPIDS, MI 49512
(616) 745-6454
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004276
MI
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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