institution
Barnett Wamboldt Eyecare, Sc
Primary Care Clinic/Center in Kenosha, Wisconsin
NPI 1497905129

Barnett Wamboldt Eyecare, Sc is a Primary Care Clinic/Center based in Kenosha, WI and is specialized in Primary Care. Barnett Wamboldt Eyecare, Sc practices in Kenosha, WI. The NPI Number for Barnett Wamboldt Eyecare, Sc is 1497905129 and holds a License No. 2407-035 (Wisconsin).

The current practice location address for Barnett Wamboldt Eyecare, Sc is 6116-39 Ave, Kenosha, WI and can be reached out via phone at 262-653-0100 and via fax at 262-653-0200.

Location: 6116-39 Ave, Kenosha, WI, 53142
institution
Provider Profile Details
NPI Number
1497905129
Provider Name
Barnett Wamboldt Eyecare, Sc
Credential
Provider Entity Type
Organization
Address
6116-39 Ave, Kenosha, WI, 53142
Phone Number
262-653-0100
Fax Number
262-653-0200
Provider Enumeration Date
09/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38585300 05 WI
institution
Provider Business Practice Location Address Details
Address
6116-39 Ave
City
State
Zip
53142
Phone Number
262-653-0100
Fax Number
262-653-0200
person
Provider Business Mailing Address Details
Address
6116-39 Ave
City
State
Zip
53142
Phone Number
262-653-0100
Fax Number
262-653-0200
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
2407-035 (Wisconsin)
Definition
Definition to come...
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