Individual
MR. CARL CONRAD SEUTTER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1000 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4218
(907) 279-8651
Mailing address
2111 GRIZZLY BEAR DR, WASILLA, AK 99654-2721
(907) 376-9311
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
211
AK
Other
Enumeration date
06/24/2007
Last updated
07/08/2007
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