Individual
DR. JOSEPH MICHAEL THALLEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
18001892A
IN
152WC0802X
Corneal and Contact Management Optometrist
18001892A
IN
152WL0500X
Low Vision Rehabilitation Optometrist
18001892A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100157080A
—
IN
Enumeration date
07/06/2006
Last updated
10/15/2009
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