Organization
DOUGLAS A. DUERSTOCK O.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS A. DUERSTOCK O.D. (OPTOMETRIST)
(812) 273-6901
Entity
Organization
Contact information
Practice address
567 IVY TECH DR, MADISON, IN 47250-1802
(812) 273-6901
(812) 265-3275
Mailing address
567 IVY TECH DR, MADISON, IN 47250-1802
(812) 273-6901
(812) 265-3275
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002570B
IN
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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