Individual
MR. KARL K DAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1421 S 11TH ST, NILES, MI 49120-4201
(269) 684-1330
(269) 684-5333
Mailing address
1700 S PARK ST, KALAMAZOO, MI 49001-2759
(269) 342-0003
(269) 342-4284
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901003003
LICENSE NUMBER
MI
Enumeration date
07/13/2006
Last updated
07/08/2007
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