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Bruce George Barry
Optician in Stoughton, Wisconsin
NPI 1407908254

Bruce George Barry is a Optician based in Stoughton, WI and is specialized in Optician. Bruce George Barry practices in Stoughton, WI. The NPI Number for Bruce George Barry is 1407908254 and holds a License No. (Wisconsin).

The current practice location address for Bruce George Barry is 105 Kings Lynn Rd, Stoughton, WI and can be reached out via phone at 608-873-2020.

Location: 105 Kings Lynn Rd, Stoughton, WI, 53589-1999
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407908254
Provider Name
Bruce George Barry
Credential
Provider Entity Type
Individual
Gender
Male
Address
105 Kings Lynn Rd, Stoughton, WI, 53589-1999
Phone Number
608-873-2020
Fax Number
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38709100 05 WI
institution
Provider Business Practice Location Address Details
Address
105 Kings Lynn Rd
City
Stoughton
State
Wisconsin
Zip
53589-1999
Phone Number
608-873-2020
Fax Number
person
Provider Business Mailing Address Details
Address
105 Kings Lynn Rd
City
Stoughton
State
Wisconsin
Zip
53589-1999
Phone Number
608-873-2020
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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