James Leigh Elm O.D.

NPI 1053479147 - Optometrist - 152W00000X

NPI Details
NPI 1053479147
Gender Male
Enumeration Date 12/04/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2811 S ONEIDA ST
GREEN BAY WI, 54304-5748, US
Phone (920) 496-9699
Fax (920) 496-1540
Business Location
2811 S ONEIDA ST
GREEN BAY WI, 54304-5748, US
Phone (920) 496-9699
Fax (920) 496-1540
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 2363
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According to our database, Dr. James Leigh Elm O.D. NPI is 1053479147, taxonomy code is 152W00000X and license number is 2363, license state is located at Wisconsin. James Leigh Elm O.D. physically located at 2811 S Oneida St, Green Bay WI, 54304-5748. NPI Number James Leigh Elm O.D. has the Individual type.

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1053479147 NPI number is provided on an as is basis without warranty of any kind. 1053479147 is maintained by the National Plan & Provider Enumeration System. The contents of James Leigh Elm O.D. are for informational purposes only.