Individual
STANLEY M KONYNENBELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
300 S STATE ST, #15, ZEELAND, MI 49464
(616) 772-9149
(616) 772-2906
Mailing address
300 S STATE ST, #15, ZEELAND, MI 49464
(616) 772-9149
(616) 772-2906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002457
MI
Other
Enumeration date
06/25/2006
Last updated
12/29/2011
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