Individual
DR. THOMAS PHILIP MOLESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2655 DEAN LAKE AVENUE NE, GRAND RAPIDS, MI 49505-3950
(616) 364-0007
(616) 364-0007
Mailing address
2655 DEAN LAKE AVENUE NE, GRAND RAPIDS, MI 49505-3950
(616) 364-0007
(616) 364-0007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002423
MI
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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