Individual
MORGAN CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2155 84TH ST SW, BYRON CENTER, MI 49315-8260
(616) 878-3600
Mailing address
1843 8TH ST NW, GRAND RAPIDS, MI 49504-3906
(989) 619-4147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005370
MI
Other
Enumeration date
06/20/2019
Last updated
03/11/2025
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