Organization
OSAGE EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D LISCHWE M.D. (OWNER)
(573) 348-8002
Entity
Organization
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8002
(573) 348-1622
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8002
(573) 348-1622
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R9E24
MO
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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