Individual
DR. MARTIN R. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6110 MAPLECREST RD, FORT WAYNE, IN 46835-2524
(260) 486-8833
(260) 486-8784
Mailing address
6110 MAPLECREST RD, FORT WAYNE, IN 46835-2524
(260) 486-8833
(260) 486-8784
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002542B
IN
Other
Enumeration date
07/21/2005
Last updated
02/24/2010
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