Jay J Crank O.D.

NPI 1083612162 - Optometrist - 152W00000X

NPI Details
NPI 1083612162
Gender Male
Enumeration Date 07/12/2005
Last Updated 06/09/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
750 E BELTLINE AVE NE
GRAND RAPIDS MI, 49525-6049, US
Phone (616) 949-2600
Fax (616) 365-2076
Business Location
750 E BELTLINE AVE NE
GRAND RAPIDS MI, 49525-6049, US
Phone (616) 949-2600
Fax (616) 365-2076
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4301003678
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According to our database, Dr. Jay J Crank O.D. NPI is 1083612162, taxonomy code is 152W00000X and license number is 4301003678, license state is located at Michigan. Jay J Crank O.D. physically located at 750 E Beltline Ave Ne, Grand Rapids MI, 49525-6049. NPI Number Jay J Crank O.D. has the Individual type.

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1083612162 NPI number is provided on an as is basis without warranty of any kind. 1083612162 is maintained by the National Plan & Provider Enumeration System. The contents of Jay J Crank O.D. are for informational purposes only.