William B. Witte, Ltd

NPI 1548458623 - Optometrist - 152W00000X

NPI Details
NPI 1548458623
Enumeration Date 10/14/2007
Last Updated 10/19/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY TERESA MARY
Position OPTOMETRIST
Phone (309) 663-8581
Fax (309) 663-0232
Practice Location
2409 E WASHINGTON ST
BLOOMINGTON IL, 61704-4483, US
Phone (309) 663-8581
Fax (309) 663-0232
Business Location
2409 E WASHINGTON ST
BLOOMINGTON IL, 61704-4483, US
Phone (309) 663-8581
Fax (309) 663-0232
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, William B. Witte, Ltd NPI is 1548458623, taxonomy code is 152W00000X William B. Witte, Ltd physically located at 2409 E Washington St, Bloomington IL, 61704-4483. NPI Number 1033115704 has the healthcare provider type.

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1548458623 NPI number is provided on an as is basis without warranty of any kind. 1548458623 is maintained by the National Plan & Provider Enumeration System. The contents of William B. Witte, Ltd are for informational purposes only.