DR. GLEN NYDAM, O.D.
Optometrist
Active
Individual
NPI: 1003887688
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 542 (SD) |
Frequently Asked Questions
NPI 1003887688 is the National Provider Identifier for DR. GLEN NYDAM, O.D., a Optometrist provider located in Mitchell, SD. This NPI was enumerated on January 31, 2006.
DR. GLEN NYDAM, O.D. practices at 305 N SANBORN BLVD, Mitchell, SD 57301.
Quick Facts
- NPI
- 1003887688
- Type
- Individual
- Enumerated
- Jan 31, 2006
- Last Updated
- Nov 10, 2022
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