Jonathan Edward Kintner OD

NPI 1053494328 - Optometrist - 152W00000X

NPI Details
NPI 1053494328
Gender Male
Enumeration Date 10/23/2006
Last Updated 06/06/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
517 LINCOLN WAY E
MISHAWAKA IN, 46544-2211, US
Phone (574) 255-3188
Fax (574) 255-4182
Business Location
517 LINCOLN WAY E
MISHAWAKA IN, 46544-2211, US
Phone (574) 255-3188
Fax (574) 255-4182
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18001487
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According to our database, Dr. Jonathan Edward Kintner OD NPI is 1053494328, taxonomy code is 152W00000X and license number is 18001487, license state is located at Indiana. Jonathan Edward Kintner OD physically located at 517 Lincoln Way E, Mishawaka IN, 46544-2211. NPI Number Jonathan Edward Kintner OD has the Individual type.

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1053494328 NPI number is provided on an as is basis without warranty of any kind. 1053494328 is maintained by the National Plan & Provider Enumeration System. The contents of Jonathan Edward Kintner OD are for informational purposes only.