DR. Michael John Rotheker, O.D.

NPI #1316935208 in South Bend, Indiana

Provider Information

NPI Number
1316935208
Entity Type
Individual
Name
DR. Michael John Rotheker, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Oct 13, 2005
Last Updated
Aug 14, 2018

Practice Location

Address
17615 STATE ROAD 23
State
Indiana
ZIP Code
46635
Phone
(574) 234-7600

Specialties & Taxonomy Codes

Specialty
Optometrist

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