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NPI Code Detail

MEDICARE: DR. DANIEL ROSS SLIWINSKI O.D.

MEDICARE:  DR. DANIEL ROSS SLIWINSKI  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist002525IA

General Provider Information

NPI Number : 1932495991
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL ROSS SLIWINSKI O.D.
Provider Business Mailing Address
First Line : 2930 DIVISION ST
Second Line :
City : BURLINGTON
State : IA
Zip : 52601-1616
Country : US
Telephone Number : 319-754-5518
Fax Number :
Provider Business Practice Location Address
First Line : 2930 DIVISION ST
Second Line :
City : BURLINGTON
State : IA
Zip : 52601-1616
Country : US
Telephone Number : 319-754-5518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2011
Last Update Date : 03/20/2023

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