Andrew Ibisch, OD

NPI #1700356912 in Godfrey, Illinois

Provider Information

NPI Number: 1700356912
Entity Type: Individual
Name: Andrew Ibisch, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 30, 2018
Last Updated: Dec 17, 2018

Practice Location

Address: 1310 DADRIAN PROF PARK
City: Godfrey
State: Illinois
ZIP Code: 62035-1685
Phone: (618) 433-5005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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