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Individual

SUSAN K MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3700 RIVERTOWN PKWY SW, SPACE 2112 RIVERTOWN CROSSINGS, GRANDVILLE, MI 49418-3085
(616) 249-7362
(616) 249-8097
Mailing address
1468 JULIE CT, HUDSONVILLE, MI 49426-9582
(616) 667-1853

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003738
MI

Other

Enumeration date
12/19/2006
Last updated
03/09/2010
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