Individual
DR. BRIAN EDWARD KONYNENBELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
300 S STATE ST, SUITE 15, ZEELAND, MI 49464-1678
(616) 772-9149
(616) 772-2906
Mailing address
300 S STATE ST STE 15, ZEELAND, MI 49464-1678
(616) 772-9149
(616) 772-2906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004535
MI
152WC0802X
Corneal and Contact Management Optometrist
49010044535
MI
Other
Enumeration date
03/11/2010
Last updated
01/15/2013
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