Individual
DR. SHANNON VERWOERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4625 BLARNEY DR, CEDAR RAPIDS, IA 52411-8015
(319) 521-6229
Mailing address
814 W UNIVERSITY LN UNIT 2A, CHICAGO, IL 60608-1064
(319) 521-6229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003128
PA
Other
Enumeration date
06/23/2015
Last updated
04/19/2016
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