Individual
DR. DAVID A NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1641 N ALPINE RD, SUITE 205, ROCKFORD, IL 61107-1458
(815) 397-5337
(815) 397-5540
Mailing address
2119 TALIESEN LN, ROCKFORD, IL 61107-1519
(815) 399-1392
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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