NPI | 1679767339 |
---|---|
Doing Business As | MICHAEL L KORTHALS |
Entity Type | Organization |
Authorized Contact | MIKE L KORTHALS Owner 641-424-0780 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IA 02146) |
Enumeration Date | 2007-09-05 |
Last Update Date | 2023-12-14 |