Provider Demographics
NPI:1275607939
Name:AYMOND, DAVID KING (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:KING
Last Name:AYMOND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:120 MARTIN DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FREDONIA
Mailing Address - State:WI
Mailing Address - Zip Code:53021-9455
Mailing Address - Country:US
Mailing Address - Phone:920-208-7700
Mailing Address - Fax:920-208-7715
Practice Address - Street 1:999 N PLAZA DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-6022
Practice Address - Country:US
Practice Address - Phone:847-413-2110
Practice Address - Fax:847-413-2114
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2016-10-27
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Provider Licenses
StateLicense IDTaxonomies
WI23917207W00000X
IL036-112859207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30390500Medicaid
IL000060169Medicare PIN
WIB51293Medicare UPIN