Individual
DR. DANIEL J. NIEDERKOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
105 MOREY DR, MARYSVILLE, OH 43040-1647
(937) 642-1916
(937) 642-3620
Mailing address
105 MOREY DR, MARYSVILLE, OH 43040-1647
(937) 642-1916
(937) 642-3620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3083
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306387
—
OH
Enumeration date
05/05/2006
Last updated
03/24/2008
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