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Individual

DR. WALTER ROBERT GUSS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1093 N UNION ST, MIDDLETOWN, PA 17057-2159
(717) 944-4031
(717) 944-1890
Mailing address
1093 N UNION ST, MIDDLETOWN, PA 17057-2159
(717) 944-4031
(717) 944-1890

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG 002173
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021139ZC38
MEDICARE
PA
Enumeration date
08/23/2005
Last updated
07/30/2009
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