Individual
DENNIS J KAUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4460 24TH AVE, FORT GRATIOT, MI 48059-3809
(810) 385-9638
(810) 385-8105
Mailing address
3121 E VILLAGE LN, PORT HURON, MI 48060-1404
(810) 385-8152
(810) 385-9638
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002310
MI
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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