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Individual

DR. ROBERT JOSEPH WERNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3497 BETHEL RD SE, PORT ORCHARD, WA 98366
(360) 329-5033
(360) 874-6670
Mailing address
5701 BANNER RD SE, PORT ORCHARD, WA 98367
(360) 473-3410
(360) 874-6670

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003541
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2034015
WA
01
G8900672
MEDICARE PTAN
WA
Enumeration date
01/14/2006
Last updated
09/02/2016
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