Northeast Wisconsin Retina Associates Sc

NPI 1437164175 - Ophthalmology - 207W00000X

NPI Details
NPI 1437164175
Enumeration Date 07/30/2006
Last Updated 06/05/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN P JOHN
Position PRESIDENT
Phone (920) 751-8666
Fax (920) 751-8676
Practice Location
200 THEDA CLARK PLAZA
SUITE 110
NEENAH WI, 54956-2790, US
Phone (920) 751-8666
Fax (920) 751-8676
Business Location
200 THEDA CLARK PLAZA
SUITE 110
NEENAH WI, 54956, US
Phone (920) 751-8666
Fax (920) 751-8676
Toxanomy
Taxonomy Code 207W00000X
License State
License Number
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According to our database, Northeast Wisconsin Retina Associates Sc NPI is 1437164175, taxonomy code is 207W00000X Northeast Wisconsin Retina Associates Sc physically located at 200 Theda Clark Plaza, Neenah WI, 54956-2790. NPI Number 1033115704 has the healthcare provider type.

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1437164175 NPI number is provided on an as is basis without warranty of any kind. 1437164175 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Wisconsin Retina Associates Sc are for informational purposes only.