Individual
SAMANTHA ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
35 MICHIGAN ST NE, SUITE 5101, GRAND RAPIDS, MI 49503-2514
(616) 526-7260
(616) 267-2606
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004951
MI
Other
Enumeration date
05/12/2015
Last updated
08/10/2017
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