Danny Ralph Dibble O.D.

NPI 1003810870 - Optometrist - 152W00000X

NPI Details
NPI 1003810870
Gender Male
Enumeration Date 06/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
112 S CLAY ST
GREENVILLE MI, 48838-1914, US
Phone (616) 754-5667
Fax (616) 754-3071
Business Location
750 E BELTLINE AVE NE
GRAND RAPIDS MI, 49525-6049, US
Phone (616) 949-2600
Fax (616) 954-0213
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901002126
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According to our database, Dr. Danny Ralph Dibble O.D. NPI is 1003810870, taxonomy code is 152W00000X and license number is 4901002126, license state is located at Michigan. Danny Ralph Dibble O.D. physically located at 112 S Clay St, Greenville MI, 48838-1914. NPI Number Danny Ralph Dibble O.D. has the Individual type.

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1003810870 NPI number is provided on an as is basis without warranty of any kind. 1003810870 is maintained by the National Plan & Provider Enumeration System. The contents of Danny Ralph Dibble O.D. are for informational purposes only.