DR. Thomas A Dettmer, O.D.

NPI #1477548527 in Osage Beach, Missouri

Provider Information

NPI Number: 1477548527
Entity Type: Individual
Name: DR. Thomas A Dettmer, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 14, 2005
Last Updated: Aug 17, 2010

Practice Location

Address: 5962 HIGHWAY 54
City: Osage Beach
State: Missouri
ZIP Code: 65065-3338
Phone: (573) 552-8569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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