Individual
DR. WILLIAM EDWARD MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
805 N MAIN ST, CARROLL, IA 51401
(712) 792-9687
(712) 792-9828
Mailing address
805 N MAIN ST, PO BOX 37, CARROLL, IA 51401
(712) 792-9687
(712) 792-9828
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01901
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0284208
—
IA
Enumeration date
07/13/2006
Last updated
09/23/2008
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