Individual
DETLEF SLEICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1229 E SEMINOLE ST STE 430, SPRINGFIELD, MO 65804-2227
(417) 820-9393
Mailing address
1229 E SEMINOLE ST STE 430, SPRINGFIELD, MO 65804-2227
(417) 820-9393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
091373
IA
152W00000X
Optometrist
Primary
2022005213
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1469
STATE LICENSE NUMBER
NE
01
—
648
THERAPEUTIC CERTIFICATION
NE
Enumeration date
06/27/2017
Last updated
03/28/2022
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