Individual
ERIK MICHAEL ROMSDAHL
Active
Individual
ERIK MICHAEL ROMSDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002511
IA
152WP0200X
Pediatric Optometrist
002511
IA
152WV0400X
Vision Therapy Optometrist
Primary
002511
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003187865
—
IA
Enumeration date
09/09/2010
Last updated
11/30/2016
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