Individual
DR. DANIEL GERARD PUETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
920 BROOKWOOD CTR, FENTON, MO 63026-3474
(636) 343-8666
(636) 326-1400
Mailing address
920 BROOKWOOD CTR, FENTON, MO 63026-3474
(636) 343-8666
(636) 326-1400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MO2530
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311907109
—
MO
Enumeration date
10/04/2006
Last updated
07/08/2007
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