Paul D Grossnickle O.D.

NPI 1023011426 - Optometrist - 152W00000X

NPI Details
NPI 1023011426
Gender Male
Enumeration Date 05/31/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2251 DUBOIS DR
WARSAW IN, 46580-3212, US
Phone (574) 269-2777
Fax (574) 371-4697
Business Location
2251 DUBOIS DR
WARSAW IN, 46580-3212, US
Phone (574) 269-2777
Fax (574) 371-4697
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18001185
Remove 1023011426 NPI Number
 

According to our database, Paul D Grossnickle O.D. NPI is 1023011426, taxonomy code is 152W00000X and license number is 18001185, license state is located at Indiana. Paul D Grossnickle O.D. physically located at 2251 Dubois Dr, Warsaw IN, 46580-3212. NPI Number Paul D Grossnickle O.D. has the Individual type.

Sponsored links

1023011426 NPI number is provided on an as is basis without warranty of any kind. 1023011426 is maintained by the National Plan & Provider Enumeration System. The contents of Paul D Grossnickle O.D. are for informational purposes only.