R. Michael Fewell O.D.

NPI 1073599429 - Optometrist - 152W00000X

NPI Details
NPI 1073599429
Gender Male
Enumeration Date 12/19/2005
Last Updated 04/27/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
3421 S LAFOUNTAIN ST
SUITE A
KOKOMO IN, 46902-3801, US
Phone (765) 455-0404
Fax (765) 455-1765
Business Location
3421 S LAFOUNTAIN ST
SUITE A
KOKOMO IN, 46902-3801, US
Phone (765) 455-0404
Fax (765) 455-1765
Toxanomy
Taxonomy Code 152W00000X
License State Indiana
License Number 18001678B
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According to our database, Dr. R. Michael Fewell O.D. NPI is 1073599429, taxonomy code is 152W00000X and license number is 18001678B, license state is located at Indiana. R. Michael Fewell O.D. physically located at 3421 S Lafountain St, Kokomo IN, 46902-3801. NPI Number R. Michael Fewell O.D. has the Individual type.

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1073599429 NPI number is provided on an as is basis without warranty of any kind. 1073599429 is maintained by the National Plan & Provider Enumeration System. The contents of R. Michael Fewell O.D. are for informational purposes only.