Organization
DR M A GUTWEIN P C
Active
Other names
DR MITCHELL A GUTWEIN PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL A GUTWEIN OD (OWNER)
(765) 447-5413
Entity
Organization
Contact information
Practice address
3888 UNION ST, LAFAYETTE, IN 47905-4471
(765) 447-5413
(765) 449-8273
Mailing address
3888 UNION ST, LAFAYETTE, IN 47905-4471
(765) 447-5413
(765) 449-8273
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002088A
IN
Other
Enumeration date
11/08/2007
Last updated
07/23/2008
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