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1124478581
MICHAEL DEWIT
GRANGER, IN
NPI
1124478581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 18003973)
Enumeration Date
2016-06-16
Last Update Date
2023-09-06
Business Address
MICHAEL DEWIT OD
13197 STATE ROAD 23
GRANGER, IN 46530
Phone number: 812-855-8436
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Mailing Address
MICHAEL DEWIT OD
835 N CASS ST
WABASH, IN 46992-1613
Phone number: 260-569-9550
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