Individual
MARIANNE K MOAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3468 28TH ST SE, GRAND RAPIDS, MI 49512-1602
(616) 974-8981
(616) 954-7575
Mailing address
241 COVINGTON CT SW, GRANDVILLE, MI 49418-3297
(616) 667-1864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004443
MI
Other
Enumeration date
07/30/2007
Last updated
05/03/2011
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