Individual
MR. DANIEL J. FEDERSPILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTFD OPTICIAN
Contact information
Practice address
3100 MERIDIAN PARKE DR, SUITE J, GREENWOOD, IN 46142-9427
(317) 888-9755
(317) 888-9768
Mailing address
3100 MERIDIAN PARKE DR, SUITE J, GREENWOOD, IN 46142-9427
(317) 888-9755
(317) 888-9768
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
35-1762626
IN
Other
Enumeration date
03/22/2007
Last updated
08/25/2008
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