Grey Preston Baals O.D.

NPI 1073516753 - Optometrist - 152W00000X

NPI Details
NPI 1073516753
Gender Male
Enumeration Date 05/24/2005
Last Updated 12/04/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
ANGOLA IN, 46703-9314, US
Phone (260) 668-3937
Fax (260) 668-3794
Business Location
PO BOX 549
WABASH IN, 46992-0549, US
Phone (260) 569-9550
Fax (260) 569-9244
Taxonomy Code 152W00000X
License State Indiana
License Number 18002267
Remove 1073516753 NPI Number

According to our database, Dr. Grey Preston Baals O.D. NPI is 1073516753, taxonomy code is 152W00000X and license number is 18002267, license state is located at Indiana. Grey Preston Baals O.D. physically located at 240 Hoosier Dr, Angola IN, 46703-9314. NPI Number Grey Preston Baals O.D. has the Individual type.

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1073516753 NPI number is provided on an as is basis without warranty of any kind. 1073516753 is maintained by the National Plan & Provider Enumeration System. The contents of Grey Preston Baals O.D. are for informational purposes only.