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Individual

RYAN FEICHTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
700 E COLISEUM BLVD, FORT WAYNE, IN 46805-1220
(260) 482-2020
Mailing address
9627 ACACIA PSGE, FORT WAYNE, IN 46835-9103
(419) 569-0696

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003705A
IN
152W00000X
Optometrist
6037
OH

Other

Enumeration date
07/27/2011
Last updated
04/17/2012
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