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Individual

DR. KIMBERLY MERRYFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2025 25 MILE RD, SHELBY TOWNSHIP, MI 48316-0941
(248) 651-3937
(248) 651-5006
Mailing address
2025 25 MILE RD, SHELBY TOWNSHIP, MI 48316-0941
(248) 651-3937
(248) 659-4361

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004068
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4901004068
OPTOMETRIST LICENSE
MI
01
5330000693
MI CONTROLLED SUBSTANCE
MI
Enumeration date
01/13/2007
Last updated
03/07/2023
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