NATHAN C DIECKOW

Dr NATHAN C DIECKOW is a male medical professional, specializing in Optometry. He graduated in 2009 from University Of Missouri St Louis - School Of Optometry.

Contact

1115 N HENDERSON ST
GALESBURG
IL
614012523

Tel:

NATHAN C DIECKOW Information

Npi 1841423753
Pac Id 2860517232
Professional Enrollment Id I20100909000427
Last Name DIECKOW
First Name NATHAN
Middle Name C
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduation Year 2009
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1115 N HENDERSON ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GALESBURG
State IL
Zip Code 614012523
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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