Individual
KATRINA FESKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1216 BALLYBUNION CT, DYER, IN 46311-1268
(219) 552-5124
Mailing address
1216 BALLYBUNION CT, DYER, IN 46311-1268
(219) 552-5124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003016A&B
IN
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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