NPI 1003887688
Glen D Nydam, OD
Practice location
- Address
- 305 N Sanborn Blvd, Mitchell, SD 57301-2449
- Phone
- (605) 996-2537
- Fax
- (605) 996-0500
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1003887688
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Jan 2006
- Record last updated
- 10 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.