NPI 1104095165

Daniel a Arsulowicz O.D.

Organisation Eyewear Supplier Grand Rapids, MI

Practice location

Address: 3935 Lake Michigan Dr NW, Grand Rapids, MI 49534-7844
Phone: (616) 453-8223
Fax: (616) 453-6262

Authorised official

Name: Daniel A. Arsulowicz
Title: Optometrist
Phone: (616) 453-8223

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 4901002358 (MI)

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Registry record

NPI: 1104095165
Entity type: Organization
NPI issued: 25 Feb 2008
Record last updated: 18 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.