Dale W Muth Od Pllc

NPI #1629100011 in Newberry, Michigan

Provider Information

NPI Number: 1629100011
Entity Type: Organization
Organization Name: Dale W Muth Od Pllc
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 12, 2007
Last Updated: Jun 9, 2015

Practice Location

Address: 504 W HARRIE ST
City: Newberry
State: Michigan
ZIP Code: 49868-1200
Phone: (906) 293-9276

Authorized Official

Name: DR. DALE W MUTH, OD
Title: OPTOMETRIST
Phone: (906) 293-9276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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