Mr. Joseph T Marcin, Jr

NPI #1497996748 in Pana, Illinois

Provider Information

NPI Number: 1497996748
Entity Type: Organization
Organization Name: Mr. Joseph T Marcin, Jr
Subpart: Yes (part of a larger organization)
Parent Organization: MR. JOSEPH T. MARCIN, JR
Primary Specialty: Optometrist
Enumeration Date: Mar 17, 2009
Last Updated: Mar 18, 2009

Practice Location

Address: 120 S LOCUST ST
City: Pana
State: Illinois
ZIP Code: 62557-1430
Phone: (217) 562-2432

Authorized Official

Name: MR. JOSEPH THOMAS MARCIN JR., OD
Title: OWNER
Phone: (217) 562-2432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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