Individual
DR. MICHAEL JOSEPH HITTENMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
777 TANGLEFOOT LN, BETTENDORF, IA 52722-1650
(563) 323-2020
(563) 328-5694
Mailing address
777 TANGLEFOOT LN, BETTENDORF, IA 52722-1650
(563) 323-2020
(563) 328-5694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01711
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028225
—
IA
01
—
0740183
IA GROUP MEDICAID
IA
Enumeration date
12/21/2005
Last updated
06/28/2012
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