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Individual

DR. MICHAEL JAMES HUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
19 W 3RD ST, LEWISTOWN, PA 17044-1716
(717) 248-5678
(717) 242-2716
Mailing address
19 W 3RD ST, LEWISTOWN, PA 17044-1716
(717) 248-5678
(717) 242-2716

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000613
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00468803
MEDICARE RAILROAD PTAN
Enumeration date
03/15/2006
Last updated
05/15/2008
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