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Daniel L. Gauerkei Dba Broadway Vision Center
Medical Specialty Clinic/Center in Waupaca, Wisconsin
NPI 1568641439

Daniel L. Gauerkei Dba Broadway Vision Center is a Medical Specialty Clinic/Center based in Waupaca, WI and is specialized in Medical Specialty. Daniel L. Gauerkei Dba Broadway Vision Center practices in Waupaca, WI. The NPI Number for Daniel L. Gauerkei Dba Broadway Vision Center is 1568641439 and holds a License No. 1938 (Wisconsin).

The current practice location address for Daniel L. Gauerkei Dba Broadway Vision Center is 815 W Fulton St, Waupaca, WI and can be reached out via phone at 715-258-9122 and via fax at 715-258-3090.

Location: 815 W Fulton St, Waupaca, WI, 54981-1405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568641439
Provider Name
Daniel L. Gauerkei Dba Broadway Vision Center
Credential
Provider Entity Type
Organization
Address
815 W Fulton St, Waupaca, WI, 54981-1405
Phone Number
715-258-9122
Fax Number
715-258-3090
Provider Enumeration Date
10/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
815 W Fulton St
City
Waupaca
State
Wisconsin
Zip
54981-1405
Phone Number
715-258-9122
Fax Number
715-258-3090
person
Provider Business Mailing Address Details
Address
815 W Fulton St
City
Waupaca
State
Wisconsin
Zip
54981-1405
Phone Number
715-258-9122
Fax Number
715-258-3090
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
1938 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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