Organization
MICHAEL E GEWE OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EUGENE GEWE O.D. (PRESIDENT)
(618) 327-3231
Entity
Organization
Contact information
Practice address
250 E ELM ST, NASHVILLE, IL 62263-1710
(618) 327-3231
(618) 327-8748
Mailing address
250 E ELM ST, NASHVILLE, IL 62263-1710
(618) 327-3231
(618) 327-8748
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
046006845
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T92292
TPA LICENSE
IL
Enumeration date
10/16/2007
Last updated
05/08/2008
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