DR. Michael Wade Jorgensen, OD

NPI #1558675157 in Benton, Louisiana

Provider Information

NPI Number: 1558675157
Entity Type: Individual
Name: DR. Michael Wade Jorgensen, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 6, 2010
Last Updated: Nov 16, 2016

Practice Location

Address: 187 BURT BLVD
Address 2: STE A
City: Benton
State: Louisiana
ZIP Code: 71006-4905
Phone: (318) 935-5080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Dr. Michael Wade Jorgensen Od LLC	Optometrist	Benton	AI Deep Dive

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