DR. Michael Dane Mattson, OD

NPI #1184811382 in Puyallup, Washington

Provider Information

NPI Number: 1184811382
Entity Type: Individual
Name: DR. Michael Dane Mattson, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 2, 2007
Last Updated: Oct 2, 2007

Practice Location

Address: 3500 S MERIDIAN
Address 2: # 900 SEARS OPTICAL
City: Puyallup
State: Washington
ZIP Code: 98374
Phone: (253) 770-5768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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