Individual
DR. ANNESSA M DIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
Mailing address
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-6049
(616) 949-2600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AD000806
MI
Other
Enumeration date
11/03/2006
Last updated
10/21/2011
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