Organization
KEN HOLMBERG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH HOLMBERG O.D. (MANAGER)
(517) 487-9166
Entity
Organization
Contact information
Practice address
3225 TOWNE CENTRE BLVD, LANSING, MI 48912-5620
(517) 487-9166
Mailing address
3225 TOWNE CENTRE BLVD, LANSING, MI 48912-5620
(517) 487-9166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004504
MI
Other
Enumeration date
05/05/2011
Last updated
12/29/2018
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