Individual
MR. DANIEL S STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5415 N MAIN ST, MISHAWAKA, IN 46545-9044
(574) 271-2020
Mailing address
4800 N FEDERAL HWY STE 201B, BOCA RATON, FL 33431-3408
(317) 407-9460
(317) 863-1227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003476A
IN
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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