Individual
DR. DANIEL J. HANISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
111 1ST AVE E, NEWTON, IA 50208-3715
(641) 792-7375
(641) 792-7525
Mailing address
111 1ST AVE E, NEWTON, IA 50208-3715
(641) 792-7375
(641) 792-7525
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1552
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09917
—
IA
Enumeration date
03/17/2006
Last updated
09/29/2008
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