Individual
DR. DAVID STORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9330 BROADWAY, CROWN POINT, IN 46307-8602
(312) 569-5252
(312) 569-5201
Mailing address
9330 BROADWAY, CROWN POINT, IN 46307-8602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004029
MI
Other
Enumeration date
09/15/2006
Last updated
07/13/2007
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