Individual
MR. DEAN ALBIN VER MULM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
804 BROADWAY, EMMETSBURG, IA 50536
(712) 852-4123
(712) 852-4864
Mailing address
PO BOX 416, 804 BROADWAY, EMMETSBURG, IA 50536-0416
(712) 852-4123
(712) 852-4864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02022
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100768
—
IA
Enumeration date
01/13/2006
Last updated
11/29/2007
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