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DR. ANGELA LYNN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
6617 CROSSINGS DR SE STE 102, GRAND RAPIDS, MI 49508-7378
(616) 541-7080
(616) 541-7088
Mailing address
6617 CROSSINGS DR SE STE 102, GRAND RAPIDS, MI 49508-7378
(616) 485-9804
(616) 541-7088

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901004369
MI
152WV0400X
Vision Therapy Optometrist
Primary
4901004369
MI

Other

Enumeration date
08/30/2006
Last updated
05/16/2022
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