Individual
DR. DANIEL ROBERT OBERMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1250 N MAIN ST, SIKESTON, MO 63801-4827
(573) 471-1080
(573) 471-1810
Mailing address
PO BOX 709, 1250 NORTH MAIN STREET, SIKESTON, MO 63801-0709
(573) 471-1080
(573) 471-1810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO2935
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318104809
—
MO
Enumeration date
12/01/2005
Last updated
04/29/2014
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