Edwin Detweiler III, O.D.

NPI #1154303923 in Bradenton, Florida

Provider Information

NPI Number: 1154303923
Entity Type: Individual
Name: Edwin Detweiler III, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 17, 2005
Last Updated: Mar 12, 2019

Practice Location

Address: 6002 POINTE WEST BLVD
City: Bradenton
State: Florida
ZIP Code: 34209-5531
Phone: (941) 792-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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