Individual
CARLIE CRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6748 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-7032
(616) 275-2020
Mailing address
6748 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-7032
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005677
MI
Other
Enumeration date
05/08/2023
Last updated
06/21/2023
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