Alfred C. Wermuth, O.d.

NPI 1194050468 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1194050468
Enumeration Date 10/05/2009
Last Updated 10/06/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name ALFRED C. ALFRED
Position OWNER
Phone (260) 471-2000
Fax (260) 471-2100
Practice Location
1221 MEDICAL PARK DR
FORT WAYNE IN, 46825-5887, US
Phone (260) 471-2000
Fax (260) 471-2100
Business Location
1221 MEDICAL PARK DR
FORT WAYNE IN, 46825-5887, US
Phone (260) 471-2000
Fax (260) 471-2100
Toxanomy
Taxonomy Code 332H00000X
License State Indiana
License Number 18001756B
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According to our database, Alfred C. Wermuth, O.d. NPI is 1194050468, taxonomy code is 332H00000X and license number is 18001756B, license state is located at Indiana. Alfred C. Wermuth, O.d. physically located at 1221 Medical Park Dr, Fort Wayne IN, 46825-5887. NPI Number 1033115704 has the healthcare provider type.

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1194050468 NPI number is provided on an as is basis without warranty of any kind. 1194050468 is maintained by the National Plan & Provider Enumeration System. The contents of Alfred C. Wermuth, O.d. are for informational purposes only.