Individual
DR. DAVID WINTERGERST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
101 E ELNORA ST, ODON, IN 47562-1125
(812) 636-8030
Mailing address
101 E ELNORA ST, ODON, IN 47562-1125
(812) 636-8030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002037
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100521500A
—
IN
Enumeration date
07/01/2005
Last updated
11/22/2011
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