Individual
DR. DAVID RAY HAISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2200 17TH ST, SPIRIT LAKE, IA 51360
(712) 336-8939
(712) 336-8952
Mailing address
2200 17TH ST, SPIRIT LAKE, IA 51360
(712) 336-8939
(712) 336-8952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002415
IA
152W00000X
Optometrist
046009582
IL
Other
Enumeration date
10/27/2006
Last updated
06/17/2014
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