Individual
DAN L STADELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1718 E KIMBERLY RD, DAVENPORT, IA 52807-2097
(563) 355-3912
(563) 359-4108
Mailing address
1718 E KIMBERLY RD, DAVENPORT, IA 52807-2029
(563) 355-3912
(563) 359-4108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01826
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0224626
—
IA
01
—
22462
BC/BS OF IA
IA
Enumeration date
07/17/2006
Last updated
09/07/2021
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