Individual
DR. KERI DANAE NEBELSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
211 E HAVENS AVE, MITCHELL, SD 57301-4402
(605) 995-5640
(605) 996-4671
Mailing address
211 E HAVENS AVE, MITCHELL, SD 57301-4402
(605) 995-5640
(605) 996-4671
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003680A
IN
152W00000X
Optometrist
3261-35
WI
152W00000X
Optometrist
3287
MN
152W00000X
Optometrist
Primary
703
SD
152WP0200X
Pediatric Optometrist
18003680A
IN
Other
Enumeration date
06/29/2011
Last updated
03/22/2019
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