Individual
DR. MARIBETH ANDERSON BANGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3819 RIVERTOWN PKWY SW, SUITE 500, GRANDVILLE, MI 49418-3140
(616) 667-9130
Mailing address
7900 CREEKWOOD CT SE, ALTO, MI 49302-9780
(616) 664-0973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004140
MI
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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