Individual
DR. DEAN WALTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
109 E MAIN ST, LEIPSIC, OH 45856-1428
(419) 943-3697
Mailing address
109 E MAIN ST, LEIPSIC, OH 45856-1428
(419) 943-3697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4420 T995
OH
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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