C. Gregory Vickers O.D.

NPI 1801827456 - Optometrist - 152W00000X

NPI Details
NPI 1801827456
Gender Male
Enumeration Date 07/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9815 HWY 70 WEST
SUITE 102
MINOCQUA WI, 54548-0971, US
Phone (715) 358-3937
Fax (715) 358-7677
Business Location
PO BOX 971
MINOCQUA WI, 54548-0971, US
Phone (715) 358-3937
Fax (715) 358-7677
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 2838-035
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According to our database, Dr. C. Gregory Vickers O.D. NPI is 1801827456, taxonomy code is 152W00000X and license number is 2838-035, license state is located at Wisconsin. C. Gregory Vickers O.D. physically located at 9815 Hwy 70 West, Minocqua WI, 54548-0971. NPI Number C. Gregory Vickers O.D. has the Individual type.

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1801827456 NPI number is provided on an as is basis without warranty of any kind. 1801827456 is maintained by the National Plan & Provider Enumeration System. The contents of C. Gregory Vickers O.D. are for informational purposes only.