Individual
DR. DANIEL JAMES KIERSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
377 N ROLLINGS MEADOWS DR, FOND DU LAC, WI 54937
(920) 921-8022
(920) 921-8254
Mailing address
3160 OLD ORCHARD LN, OSHKOSH, WI 54902
(920) 232-1236
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2009
WI
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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