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Organization

DR MARIANNE K MOAYER OD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIANNE KAY MOAYER O.D. (OWNER/SHARE HOLDER)
(616) 667-1864
Entity
Organization

Contact information

Practice address
1600 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-7024
(616) 365-2020
Mailing address
241 COVINGTON CT SW, GRANDVILLE, MI 49418-3297
(616) 667-1864

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
49010004443
MI

Other

Enumeration date
05/02/2011
Last updated
05/02/2011
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