Individual
DR. MARK COLLINS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2820 E BELTLINE LN NE, GRAND RAPIDS, MI 49525-9432
(616) 363-5413
(616) 363-4211
Mailing address
2820 E BELTLINE LN NE, GRAND RAPIDS, MI 49525-9432
(616) 363-5413
(616) 363-4211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002801
MI
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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