Eugene George Benedict OD

NPI 1003848433 - Optometrist - 152W00000X

NPI Details
NPI 1003848433
Gender Male
Enumeration Date 07/07/2006
Last Updated 01/14/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
802 E FRONT ST
SUITE 2
BUCHANAN MI, 49107-1499, US
Phone (269) 695-9011
Fax (269) 695-2251
Business Location
802 E FRONT ST
SUITE 2
BUCHANAN MI, 49107-1499, US
Phone (269) 695-9011
Fax (269) 695-2251
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18001440A
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According to our database, Dr. Eugene George Benedict OD NPI is 1003848433, taxonomy code is 152W00000X and license number is 18001440A, license state is located at Indiana. Eugene George Benedict OD physically located at 802 E Front St, Buchanan MI, 49107-1499. NPI Number Eugene George Benedict OD has the Individual type.

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1003848433 NPI number is provided on an as is basis without warranty of any kind. 1003848433 is maintained by the National Plan & Provider Enumeration System. The contents of Eugene George Benedict OD are for informational purposes only.