Individual
MICHAEL R KLINDWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9925 STATE AVE, MARYSVILLE, WA 98270-2253
(360) 653-3498
(360) 659-0514
Mailing address
9925 STATE AVE, MARYSVILLE, WA 98270-2253
(360) 653-3498
(360) 659-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WA 3220 TX
WA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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