Organization
ROBERT C HUIZENGA O D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C HUIZENGA O D P C (DOCTOR)
(616) 457-2020
Entity
Organization
Contact information
Practice address
1884 BALDWIN ST, JENISON, MI 49428-8902
(616) 457-2020
(616) 988-5776
Mailing address
1884 BALDWIN ST, JENISON, MI 49428-8902
(616) 457-2020
(616) 988-5776
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002647
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152W0000X
TAXONOMY - OPTOMETRIST
MI
Enumeration date
12/09/2009
Last updated
12/09/2009
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