DR. Ethan Everett Huisman, OD

NPI #1891776365 in Waukee, Iowa

Provider Information

NPI Number: 1891776365
Entity Type: Individual
Name: DR. Ethan Everett Huisman, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 10, 2005
Last Updated: Nov 5, 2021

Practice Location

Address: 1350 SE UNIVERSITY AVE
City: Waukee
State: Iowa
ZIP Code: 50263-8933
Phone: (515) 987-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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