Individual
DR. GERARD M CHORYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
(616) 365-2076
Mailing address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
(616) 365-2076
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003337
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2707994
—
MI
01
—
410017839
MEDICARE RR
MI
01
—
900D16582
BCBS
MI
Enumeration date
06/09/2005
Last updated
06/09/2008
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