Individual
CLAIRE MARIE DIEKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9239 W CENTER RD, SUITE 103, OMAHA, NE 68124-1933
(888) 840-3032
Mailing address
14530 SYLVAN ST, HOLLAND, MI 49424-6425
(616) 994-2844
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004958
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508214115
—
MI
Enumeration date
05/25/2016
Last updated
07/27/2016
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