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Individual

DR. JOSEPH D SCHWALLIE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7121 ORCHARD CENTRE DR, HOLLAND, OH 43528-7975
(419) 865-7125
(419) 865-8337
Mailing address
7121 ORCHARD CENTRE DR, HOLLAND, OH 43528-7975
(419) 865-7125
(419) 865-8337

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4232
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0851123
MEDICARE PIN FOR GW
OH
Enumeration date
06/20/2005
Last updated
11/19/2007
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