DOUGLAS ERIC WIDMER

SOUTH BEND, IN
NPI1710269550
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IN  18003697A)
Enumeration Date2011-09-19
Last Update Date2013-03-25
Business Address
Dr. DOUGLAS ERIC WIDMER O.D.
4121 S. MICHIGAN STREET
SOUTH BEND, IN 46614-2545
Phone number: 574-291-9200
Mailing Address
Dr. DOUGLAS ERIC WIDMER O.D.
4121 S. MICHIGAN STREET
SOUTH BEND, IN 46614-2545
Phone number: 574-291-9200
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