SearchMichigan152W00000X

Dawn Walt, OD

NPI 1639210164 · on the registry since 2007

Practice

Address
692 W Randall St
Coopersville, MI 49404
Phone
(616) 837-6847
Fax
(616) 837-9338
Organisation at this address
Bronson Eye Care, L.L.C
Coopersville Vision Center Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan