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Dr. Duane Michael Schrock, O.D.

Optometrist in Fairhope, AL. Individual provider (NPI-1).

NPI number1114013166
StatusActive
Last updated in NPPESJan 4, 2013

Details

NPI
1114013166
Entity type
Individual (NPI-1)
Name
Dr. Duane Michael Schrock
Credential
O.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 5, 2006
Last updated
Jan 4, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristS741TA186ALYes
152W00000X OptometristOPC2793FL

Practice location

118 Lottie Ln
Fairhope, AL 36532-2995

Phone 251-928-4076 · Fax 251-928-9461

Mailing address

118 Lottie Ln
Fairhope, AL 36532-2995

Phone 251-928-4076 · Fax 251-928-9461

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