Organization
DICKMAN KETTLER & BRUNER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLYNN F BRUNER OD (VICE PRESIDENT)
(419) 678-3016
Entity
Organization
Contact information
Practice address
201 S 2ND ST, COLDWATER, OH 45828-1747
(419) 678-3016
(419) 678-8849
Mailing address
PO BOX 95, 201 S SECOND ST, COLDWATER, OH 45828-0095
(419) 678-3016
(419) 678-8849
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0611190
—
OH
Enumeration date
08/24/2006
Last updated
04/09/2008
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