Organization
JOSEPH M. THALLEMER, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MICHAEL THALLEMER O.D. (OWNER)
(574) 269-3828
Entity
Organization
Contact information
Practice address
3301 E CENTER STREET EXT, WARSAW, IN 46582-3909
(574) 269-3828
(574) 269-3848
Mailing address
3301 E CENTER STREET EXT, WARSAW, IN 46582-3909
(574) 269-3828
(574) 269-3848
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200372990
—
IN
Enumeration date
01/24/2007
Last updated
09/03/2009
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