Individual
DR. CHRISTOPHER JOSEPH PATALUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5721 COVENTRY LN, FORT WAYNE, IN 46804-7146
(260) 436-3551
Mailing address
5721 COVENTRY LN, FORT WAYNE, IN 46804-7146
(260) 436-3551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002539B
IN
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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