DR. Grant Derril Gwinner, O.D.

NPI #1063496362 in Ellsworth, Kansas

Provider Information

NPI Number
1063496362
Entity Type
Individual
Name
DR. Grant Derril Gwinner, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Dec 1, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
801 E 3RD ST
State
Kansas
ZIP Code
67439-4224
Phone
(785) 472-3272

Specialties & Taxonomy Codes

Specialty
Optometrist

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