Organization
RETINA SPECIALISTS OF MICHIGAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER DUHR (EXECUTIVE DIRECTOR)
(616) 466-7562
Entity
Organization
Contact information
Practice address
5030 CASCADE RD SE, GRAND RAPIDS, MI 49546-3725
(616) 954-2020
(616) 949-0408
Mailing address
5030 CASCADE RD SE, GRAND RAPIDS, MI 49546-3725
(616) 954-2020
(616) 949-0408
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301077476
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
10/13/2008
Last updated
06/06/2022
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