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Individual

DR. MITCHELL LEE KOERBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
442 HIGHLAND AVE, WILLIAMSTOWN, WV 26187-1249
(304) 375-6468
(304) 375-6468
Mailing address
442 HIGHLAND AVE, WILLIAMSTOWN, WV 26187-1299
(304) 375-6468
(304) 375-6468

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
WV937OD
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0149872000
WV
Enumeration date
04/18/2006
Last updated
03/12/2010
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