DAVID A BLISSENBACH

E ST LOUIS, IL
NPI1407895014
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy156FX1800X Technician/Technologist Optician
Enumeration Date2006-06-06
Last Update Date2007-07-09
Business Address
MR. DAVID A BLISSENBACH
100 N 8TH ST
E ST LOUIS, IL 62201-2989
Phone number: 618-274-2020
Mailing Address
MR. DAVID A BLISSENBACH
19 DELANO DR
CAHOKIA, IL 62206-3105
Phone number: 618-337-1500