Individual
DR. TAYLOR GRANT WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
50 N PERRY ST, HAGERSTOWN, IN 47346-1223
(765) 489-4463
(765) 489-5897
Mailing address
50 N PERRY ST, HAGERSTOWN, IN 47346-1223
(765) 489-4463
(765) 489-5897
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1572
SC
152W00000X
Optometrist
Primary
18003616A
IN
Other
Enumeration date
08/03/2009
Last updated
08/03/2017
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