Dr. Thomas Philip Moleski, OD
Optometrist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1477611804
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477611804
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Philip Moleski
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901002423 | MI | Yes |
Practice location
2655 Dean Lake Avenue NeGrand Rapids, MI 49505-3950
Phone 616-364-0007 · Fax 616-364-0007
Mailing address
2655 Dean Lake Avenue NeGrand Rapids, MI 49505-3950
Phone 616-364-0007 · Fax 616-364-0007
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