Julia B Edwards O.D.

NPI 1093705345 - Optometrist - 152W00000X

NPI Details
NPI 1093705345
Gender Female
Enumeration Date 10/27/2005
Last Updated 04/13/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
101 SOUTH MAIN ST.
DE FOREST WI, 53532-1108, US
Phone (608) 846-5625
Fax (608) 846-8998
Business Location
101 S. MAIN ST.
DE FOREST WI, 53532-1108, US
Phone (608) 846-5625
Fax (608) 846-8998
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 2173
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According to our database, Dr. Julia B Edwards O.D. NPI is 1093705345, taxonomy code is 152W00000X and license number is 2173, license state is located at Wisconsin. Julia B Edwards O.D. physically located at 101 South Main St., De Forest WI, 53532-1108. NPI Number Julia B Edwards O.D. has the Individual type.

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1093705345 NPI number is provided on an as is basis without warranty of any kind. 1093705345 is maintained by the National Plan & Provider Enumeration System. The contents of Julia B Edwards O.D. are for informational purposes only.