Organization
WILLIAM G. AHLFELD, O.D., L.L.C.
Active
Other names
William G. Ahlfeld, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GRANT AHLFELD O.D. (PRESIDENT)
(812) 753-4991
Entity
Organization
Contact information
Practice address
800 E MULBERRY ST, FORT BRANCH, IN 47648-1644
(812) 753-4991
(812) 753-4990
Mailing address
800 E MULBERRY ST, FORT BRANCH, IN 47648-1644
(812) 753-4991
(812) 753-4990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001924A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100122210A
—
IN
Enumeration date
09/20/2006
Last updated
03/11/2010
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