Organization
GROSSNICKLE EYE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA K CHANDLER CMA (ADMINISTRATIVE ASSISTANT)
(574) 269-2777
Entity
Organization
Contact information
Practice address
2251 DUBOIS DR, WARSAW, IN 46580-3212
(574) 269-2777
(574) 371-4697
Mailing address
2251 DUBOIS DR, WARSAW, IN 46580-3212
(574) 269-2777
(574) 371-4697
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0191420001
IN
Other
Enumeration date
06/23/2006
Last updated
10/11/2007
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