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Individual

DAVID J PROSSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
910 HARMON ST, STURGIS, SD 57785-2556
(605) 347-2666
(605) 347-5823
Mailing address
8918 RIDGE TRL, STURGIS, SD 57785-2807
(605) 347-2549

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
472
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9202612
SD
Enumeration date
01/10/2006
Last updated
05/05/2010
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