Individual
DR. MICHAEL J DITTMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
156 N MAIN ST, BUTLER, PA 16001-4927
(724) 287-5739
(724) 287-3461
Mailing address
117 LAKESHORE DR, BUTLER, PA 16001-1631
(724) 282-4388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1505391
BLUE CROSS/BLUE SHIELD
PA
01
—
400161
UPMC
—
Enumeration date
04/27/2006
Last updated
07/08/2007
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