Individual
DR. HOLLY WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
Mailing address
3667 RUNNING BROOK DR SE, KENTWOOD, MI 49512-9360
(989) 824-1785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004603
MI
Other
Enumeration date
10/29/2007
Last updated
02/13/2015
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