DR. William R Skutta, O.D.

NPI #1053430801 in Sandwich, Illinois

Provider Information

NPI Number: 1053430801
Entity Type: Individual
Name: DR. William R Skutta, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Mar 29, 2007
Last Updated: Mar 20, 2008

Practice Location

Address: 823 E CHURCH ST
City: Sandwich
State: Illinois
ZIP Code: 60548-1889
Phone: (815) 786-6393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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