Individual
DR. ANNAH NYBLAD FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5366
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5366
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004794
MI
152W00000X
Optometrist
OPT929
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578841094
NPI
—
Enumeration date
08/01/2011
Last updated
08/12/2013
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