Organization
DANIEL J NIEDERKOHR OD INC
Active
Organization
DANIEL J NIEDERKOHR OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J NIEDERKOHR OD (OWNER)
(937) 642-1916
Entity
Organization
Contact information
Practice address
105 MOREY DR, MARYSVILLE, OH 43040-1647
(937) 642-1916
(937) 642-3620
Mailing address
105 MOREY DR, MARYSVILLE, OH 43040-1647
(937) 642-1916
(937) 642-3620
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306387
—
OH
Enumeration date
05/15/2008
Last updated
02/03/2012
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