Patrick M Niebrugge, OPTOMETRIST OD

NPI #1831228600 in Casey, Illinois

Provider Information

NPI Number: 1831228600
Entity Type: Individual
Name: Patrick M Niebrugge, OPTOMETRIST OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OPTOMETRIST OD
Enumeration Date: Mar 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1279 E US HWY 40
City: Casey
State: Illinois
ZIP Code: 62420-0528
Phone: (217) 932-2310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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