Randy Fortkamp, OD

NPI #1770159337 in Marion, Indiana

Provider Information

NPI Number
1770159337
Entity Type
Individual
Name
Randy Fortkamp, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jun 3, 2021
Last Updated
Jun 3, 2021

Practice Location

Address
711 N RIVER DR
City
Marion
State
Indiana
ZIP Code
46952-2672
Phone
(765) 664-9637

Specialties & Taxonomy Codes

Specialty
Optometrist

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