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Organization

MICHAEL J. PORTZ, O.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL J PORTZ O.D. (OWNER)
(712) 623-5551
Entity
Organization

Contact information

Practice address
1409 N 2ND ST, RED OAK, IA 51566-1043
(712) 623-5551
(712) 623-4745
Mailing address
PO BOX 463, RED OAK, IA 51566-0463
(712) 623-5551
(712) 623-4745

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
IA

Other

Enumeration date
03/15/2007
Last updated
07/17/2013
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