Individual
MELANIE ANNE DEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
524 BROWN AVE, OSAWATOMIE, KS 66064-1322
(913) 256-2176
(913) 755-2787
Mailing address
PO BOX 456, OSAWATOMIE, KS 66064-0456
(913) 256-2176
(913) 755-2787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2018017109
MO
152W00000X
Optometrist
2076
KS
Other
Enumeration date
03/08/2018
Last updated
07/09/2020
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