Individual
KIRSTEN DONNELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
123 E BROAD ST, LINDEN, MI 48451-9126
(810) 735-9988
(810) 458-6575
Mailing address
89 S WASHINGTON ST, OXFORD, MI 48371-4979
(248) 628-3441
(248) 628-5105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1558
SC
152W00000X
Optometrist
Primary
4901004554
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376771410
—
MI
Enumeration date
06/28/2009
Last updated
07/28/2025
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