John Michael Andersen OD

NPI 1699827543 - Optometrist - 152W00000X

NPI Details
NPI 1699827543
Gender Male
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2950 PINELAKE RD
LINCOLN NE, 68516, US
Phone (402) 420-6109
Fax (402) 420-2607
Business Location
2950 PINELAKE RD
LINCOLN NE, 68516, US
Phone (402) 420-6109
Fax (402) 420-2607
Toxanomy
Taxonomy Code 152W00000X
License State Nebraska
License Number 773
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According to our database, Dr. John Michael Andersen OD NPI is 1699827543, taxonomy code is 152W00000X and license number is 773, license state is located at Nebraska. John Michael Andersen OD physically located at 2950 Pinelake Rd, Lincoln NE, 68516. NPI Number John Michael Andersen OD has the Individual type.

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1699827543 NPI number is provided on an as is basis without warranty of any kind. 1699827543 is maintained by the National Plan & Provider Enumeration System. The contents of John Michael Andersen OD are for informational purposes only.