Griebenow Eyecare, S.c.

NPI 1003045402 - Optometrist - 152W00000X

NPI Details
NPI 1003045402
Enumeration Date 07/07/2009
Last Updated 12/08/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MARIAN KAY MARIAN
Position OFFICE MANAGER
Phone (715) 823-5112
Fax (715) 823-5959
Practice Location
45 10TH ST.
CLINTONVILLE WI, 54929, US
Phone (715) 823-5112
Fax (715) 823-5959
Business Location
PO BOX 230
NEW LONDON WI, 54961-0230, US
Phone (920) 982-3711
Fax (715) 823-5959
Toxanomy
Taxonomy Code 152W00000X
License State Wisconsin
License Number 1666
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According to our database, Griebenow Eyecare, S.c. NPI is 1003045402, taxonomy code is 152W00000X and license number is 1666, license state is located at Wisconsin. Griebenow Eyecare, S.c. physically located at 45 10th St., Clintonville WI, 54929. NPI Number 1033115704 has the healthcare provider type.

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1003045402 NPI number is provided on an as is basis without warranty of any kind. 1003045402 is maintained by the National Plan & Provider Enumeration System. The contents of Griebenow Eyecare, S.c. are for informational purposes only.