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Mrs. Diana Lynn Haertel
Optician in Portage, Wisconsin
NPI 1104264233

Diana Lynn Haertel is a Optician based in Portage, WI and is specialized in Optician. Diana Lynn Haertel practices in Portage, WI. The NPI Number for Diana Lynn Haertel is 1104264233 and holds a License No. (Wisconsin).

The current practice location address for Diana Lynn Haertel is 215 W Cook St, Portage, WI and can be reached out via phone at 608-742-2020.

Location: 215 W Cook St, Portage, WI, 53901-2105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104264233
Provider Name
Diana Lynn Haertel
Credential
Provider Entity Type
Individual
Gender
Female
Address
215 W Cook St, Portage, WI, 53901-2105
Phone Number
608-742-2020
Fax Number
Provider Enumeration Date
06/11/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
215 W Cook St
City
Portage
State
Wisconsin
Zip
53901-2105
Phone Number
608-742-2020
Fax Number
person
Provider Business Mailing Address Details
Address
215 W Cook St
City
Portage
State
Wisconsin
Zip
53901-2105
Phone Number
608-742-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
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