Individual
MITCHELL SCOTT REINHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3301 E CENTER STREET EXT, WARSAW, IN 46582-3909
(574) 269-3828
(574) 269-3848
Mailing address
3301 E CENTER STREET EXT, WARSAW, IN 46582-3909
(574) 269-3828
(574) 269-3848
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003797A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18003797A
OPTOMISTRIST LICENSE
IN
Enumeration date
06/21/2013
Last updated
06/21/2013
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