David Fenwick

NPI #1104899426 in Middlebury, Indiana

Provider Information

NPI Number: 1104899426
Entity Type: Individual
Name: David Fenwick
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Enumeration Date: Feb 8, 2006
Last Updated: Apr 4, 2008

Practice Location

Address: 424 N MAIN ST
Address 2: SUITE 4
City: Middlebury
State: Indiana
ZIP Code: 46540-8987
Phone: (574) 825-3818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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