DR. R. Michael Fewell, O.D.

NPI #1073599429 in Kokomo, Indiana

Provider Information

NPI Number: 1073599429
Entity Type: Individual
Name: DR. R. Michael Fewell, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 19, 2005
Last Updated: Apr 27, 2009

Practice Location

Address: 3421 S LAFOUNTAIN ST
Address 2: SUITE A
City: Kokomo
State: Indiana
ZIP Code: 46902-3801
Phone: (765) 455-0404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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