Individual
ALLAN D WORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1455 MONTREAL ST SE, HUTCHISON, MN 55350-0699
(320) 587-6308
(866) 203-6862
Mailing address
1455 MONTREAL ST SE, PO BOX 699, HUTCHINSON, MN 55350-0699
(320) 587-6308
(866) 203-6862
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2456
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752225800
—
MN
Enumeration date
01/17/2006
Last updated
03/22/2013
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