Individual
DR. WILLIAM G AHLFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
800 E MULBERRY ST, FORT BRANCH, IN 47648-1644
(812) 753-4991
Mailing address
RR 1 BOX 362B, FORT BRANCH, IN 47648-9728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001924A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100122210A
—
IN
Enumeration date
06/07/2006
Last updated
09/25/2012
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