Individual
DAWN A. ERTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1731
KS
152W00000X
Optometrist
18002691A
IN
152W00000X
Optometrist
Primary
2002000793
MO
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
Update your record
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