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Individual

DR. ADAM MICHAEL SCHLUTERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9220 HIGHWAY 71 S, SUITE 10, FORT SMITH, AR 72916-9117
(479) 646-2555
(479) 434-4140
Mailing address
9220 HIGHWAY 71 S, SUITE 10, FORT SMITH, AR 72916-9117
(479) 646-2555
(479) 434-4140

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2612
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200256320A
OK
01
4T028
MEDICARE PTAN
AR
Enumeration date
07/29/2008
Last updated
10/23/2009
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