Glen D Nydam O.D.

NPI 1003887688 - Optometrist - 152W00000X

NPI Details
NPI 1003887688
Gender Male
Enumeration Date 01/31/2006
Last Updated 02/17/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
305 N SANBORN BLVD
MITCHELL SD, 57301-2449, US
Phone (605) 996-2537
Fax (605) 996-0500
Business Location
305 N SANBORN BLVD
MITCHELL SD, 57301-2449, US
Phone (605) 996-2537
Fax (605) 996-0500
Toxanomy
Taxonomy Code 152W00000X
License State South Dakota
License Number 542
Remove 1003887688 NPI Number
 

According to our database, Dr. Glen D Nydam O.D. NPI is 1003887688, taxonomy code is 152W00000X and license number is 542, license state is located at South Dakota. Glen D Nydam O.D. physically located at 305 N Sanborn Blvd, Mitchell SD, 57301-2449. NPI Number Glen D Nydam O.D. has the Individual type.

Sponsored links

1003887688 NPI number is provided on an as is basis without warranty of any kind. 1003887688 is maintained by the National Plan & Provider Enumeration System. The contents of Glen D Nydam O.D. are for informational purposes only.