Individual
MR. ANTHONY CURTIS MCCONER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
457 HIGHLAND ST SE, GRAND RAPIDS, MI 49507-1204
(616) 633-3752
Mailing address
457 HIGHLAND ST SE, GRAND RAPIDS, MI 49507-1204
(616) 633-3752
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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