ALFRED WERMUTH III

Dr ALFRED WERMUTH III is a male medical professional, specializing in Optometry. He graduated in 1976 from Indiana University School Of Medicine.

Contact

1221 MEDICAL PARK DR
FORT WAYNE
IN
468255887

Tel: 2604712000

ALFRED WERMUTH III Information

Npi 1295859528
Pac Id 5092820027
Professional Enrollment Id I20110302000446
Last Name WERMUTH III
First Name ALFRED
Middle Name
Suffix
Gender M
Credential
Medical School Name INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1976
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1221 MEDICAL PARK DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FORT WAYNE
State IN
Zip Code 468255887
Phone Number 2604712000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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