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Individual

DR. JOHN G ASHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
4801 W BETHEL AVE, MUNCLE, IN 47304
(765) 288-7744
(765) 282-0741
Mailing address
4801 W BETHEL AVE, MUNCLE, IN 47304
(765) 288-7744
(765) 282-0741

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1800138SA
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0235610001
DMERC
05
100277110A
IN
Enumeration date
10/11/2005
Last updated
07/16/2012
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