MR. David A Blissenbach
NPI #1407895014 in E St Louis, Illinois
Provider Information
- NPI Number
- 1407895014
- Entity Type
- Individual
- Name
- MR. David A Blissenbach
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Jun 6, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 100 N 8TH ST
- City
- E St Louis
- State
- Illinois
- ZIP Code
- 62201-2989
- Phone
- (618) 274-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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