DR. Douglas Eric Widmer, O.D.
NPI #1710269550 in South Bend, Indiana
Provider Information
- NPI Number
- 1710269550
- Entity Type
- Individual
- Name
- DR. Douglas Eric Widmer, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Sep 19, 2011
- Last Updated
- Mar 25, 2013
Practice Location
- Address
- 4121 S. MICHIGAN STREET
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46614-2545
- Phone
- (574) 291-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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