Individual
DR. CALVIN WILLIAM DAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
619 10TH ST, FORT MADISON, IA 52627-2831
(319) 372-5181
Mailing address
619 10TH ST, FORT MADISON, IA 52627-2831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
108268
IA
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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