Camda Marie Temmen OD

NPI 1043282171 - Optometrist - 152W00000X

NPI Details
NPI 1043282171
Gender Female
Enumeration Date 02/02/2006
Last Updated 01/19/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1505 W MAIN ST
MT ZION IL, 62549, US
Phone (217) 864-3221
Fax (217) 864-3345
Business Location
1505 W MAIN ST
MT ZION IL, 62549-1300, US
Phone (217) 864-3221
Fax (217) 864-3345
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046008630
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According to our database, Camda Marie Temmen OD NPI is 1043282171, taxonomy code is 152W00000X and license number is 046008630, license state is located at Illinois. Camda Marie Temmen OD physically located at 1505 W Main St, Mt Zion IL, 62549. NPI Number Camda Marie Temmen OD has the Individual type.

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1043282171 NPI number is provided on an as is basis without warranty of any kind. 1043282171 is maintained by the National Plan & Provider Enumeration System. The contents of Camda Marie Temmen OD are for informational purposes only.