Dale W Muth Od PLLC
Optometrist in Newberry, MI. Organization (NPI-2).
NPI number1255463162
StatusActive
Last updated in NPPESJun 9, 2015
Details
- NPI
- 1255463162
- Entity type
- Organization (NPI-2)
- Legal business name
- Dale W Muth Od PLLC
- Organization subpart
- No
- Enumeration date
- Mar 9, 2007
- Last updated
- Jun 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901003944 | MI | Yes |
Practice location
504 W Harrie StNewberry, MI 49868-1200
Phone 902-293-9276 · Fax 906-293-9100
Mailing address
504 W Harrie StNewberry, MI 49868-1200
Phone 902-293-9276 · Fax 906-293-9100
Authorized official
Dale W Muth
Optometrist
9062939276
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