Individual
KATIE FLIKKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(877) 338-9797
Mailing address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005702
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2023
Last updated
07/10/2023
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