Individual
THOMAS WOYTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1100 MICHIGAN AVE, MARYSVILLE, MI 48040-2112
(810) 364-1334
(810) 364-1075
Mailing address
1100 MICHIGAN AVE, MARYSVILLE, MI 48040-2112
(810) 364-1334
(810) 364-1075
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002400
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3462930
—
MI
Enumeration date
03/20/2007
Last updated
12/28/2009
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