| |
4404 State Road 70, Webster, WI 54893-9251 | |
(715) 349-8554 | |
(715) 349-2559 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 4404 State Road 70, Webster, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1366654980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2728-035 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
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4404 State Road 70, Webster, WI 54893-9251 Ph: (715) 349-8554 | 4404 State Road 70, Webster, WI 54893-9251 Ph: (715) 349-8554 |