Individual
RICHARD ERDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1751 E. BRISTOL ST., ELKHART, IN 46514
(574) 264-5001
Mailing address
1751 E. BRISTOL ST., ELKHART, IN 46514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001769A&B
IN
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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