Individual
DANIEL JOSEPH ZYCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2505 N OAK DR, PLYMOUTH, IN 46563-3410
(574) 935-4224
Mailing address
8970 WILLOW LN, SAINT JOHN, IN 46373-9383
(219) 669-7564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003474A
IN
Other
Enumeration date
07/11/2007
Last updated
11/24/2010
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