Individual
DR. REBECCA ANN DERUYTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1111 HOLTON DR, LE MARS, IA 51031-2884
(712) 546-6868
(712) 546-6739
Mailing address
1111 HOLTON DR, LE MARS, IA 51031-2884
(712) 546-6868
(712) 546-6739
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02253
IA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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