DR. Glen D Nydam, O.D.
NPI #1003887688 in Mitchell, South Dakota
Provider Information
- NPI Number
- 1003887688
- Entity Type
- Individual
- Name
- DR. Glen D Nydam, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jan 31, 2006
- Last Updated
- Nov 10, 2022
Practice Location
- Address
- 305 N SANBORN BLVD
- City
- Mitchell
- State
- South Dakota
- ZIP Code
- 57301-2449
- Phone
- (605) 996-2537
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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