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Individual

JEFFREY J RITSEMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2112 EAST PARIS AVE SE, GRAND RAPIDS, MI 49546
(616) 949-8500
(616) 949-2878
Mailing address
2112 EAST PARIS AVE SE, GRAND RAPIDS, MI 49546
(616) 949-8500
(616) 949-2878

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002377
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
JR002377
BLUECROSS
MI
Enumeration date
12/16/2005
Last updated
12/14/2016
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