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Doctors / MI
OPTOMETRY
Medical school: FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated: 2026
NPI: 1639006562
1716 BURKE AVE NE
GRAND RAPIDS, MI 495054853
PO BOX, SUITE 25728
New York, NY 100877290
Source: CMS National Downloadable File, September 2026.