Individual
DR. BETHANY M BLOEMHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
303 N MAIN ST, URBANA, OH 43078-1605
(937) 653-5228
Mailing address
569 S MAIN ST, URBANA, OH 43078-2427
(937) 925-5426
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6442
OH
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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