Individual
KOMAL MANILAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
3709 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49525-2403
(616) 365-2149
Mailing address
2337 N PARK DR, SUITE 150, HOLLAND, MI 49424-8522
(616) 510-2243
(616) 510-2244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004607
MI
Other
Enumeration date
08/25/2010
Last updated
06/16/2014
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