Individual
DAVID MICHAEL WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
362 ST. CLAIR HIGHWAY, POTTSVILLE, PA 17901
(570) 621-2020
(570) 628-4933
Mailing address
200 INDIAN CREEK DR, WILKES BARRE, PA 18702-7825
(570) 239-0665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001492
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025215740001
—
PA
Enumeration date
01/08/2007
Last updated
06/14/2011
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