Individual
MORGAN DEWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
Mailing address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003978
IN
152W00000X
Optometrist
Primary
4901005001
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201367550
—
IN
Enumeration date
06/22/2016
Last updated
02/01/2024
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