Individual
EMILY ELIZABETH CIESLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1717 28TH ST SW, WYOMING, MI 49519-2591
(616) 531-4370
(616) 531-1923
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005476
MI
Other
Enumeration date
06/22/2020
Last updated
11/03/2023
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