Individual
DR. DAVID RYAN HARKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
38 N UNION ST, SPARTA, MI 49345-1138
(616) 887-8811
(616) 887-8789
Mailing address
38 N UNION ST, SPARTA, MI 49345-1138
(616) 887-8811
(616) 887-8789
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
49010003629
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410047869
RAILROAD MEDICARE
MI
01
—
5565450001
DME MAC MEDICARE
MI
Enumeration date
03/21/2006
Last updated
05/31/2023
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