Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPT00007872 | CA |
NPI | 1013123603 |
---|---|
Provider Name | Dr. Donald David Schwellenbach |
First Address | Yuba City, CA 95991-3323 |
Second Address | Yuba City, CA 95991-3323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 08/07/2007 |