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Individual

MATTHEW J ROTHEKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
7211 TAFT ST, MERRILLVILLE, IN 46410-3731
(219) 769-6367
(219) 769-7362
Mailing address
7211 TAFT ST, MERRILLVILLE, IN 46410-3731
(219) 769-6367
(219) 769-7362

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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