Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician |
NPI | 1124153739 |
---|---|
Provider Name | Mr. David J Getschman |
First Address | Plymouth, MI 48170-1738 |
Second Address | Plymouth, MI 48170-1738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 08/07/2007 |