David A Fullenkamp, O.D.

NPI #1043297625 in Portland, Indiana

Provider Information

NPI Number
1043297625
Entity Type
Individual
Name
David A Fullenkamp, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Dec 27, 2005
Last Updated
Nov 24, 2009

Practice Location

Address
1111 N MERIDIAN ST
State
Indiana
ZIP Code
47371-1024
Phone
(260) 726-4210

Specialties & Taxonomy Codes

Specialty
Optometrist

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