Individual
DR. DANIEL J KOSTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
11401 OLD GLENN HWY 106B, EAGLE RIVER, AK 99577
(907) 696-8733
(907) 696-8733
Mailing address
11401 OLD GLENN HWY 106B, EAGLE RIVER, AK 99577
(907) 696-8733
(907) 696-8733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
161
AK
152W00000X
Optometrist
Primary
OPTT161
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD1161
—
AK
Enumeration date
11/21/2006
Last updated
05/16/2018
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