institution
Wisconsin Retina, S.c.
Ophthalmologic Surgery Clinic/Center in Milwaukee, Wisconsin
NPI 1700907045

Wisconsin Retina, S.c. is a Ophthalmologic Surgery Clinic/Center based in Milwaukee, WI and is specialized in Ophthalmologic Surgery. Wisconsin Retina, S.c. practices in Milwaukee, WI. The NPI Number for Wisconsin Retina, S.c. is 1700907045 and holds a License No. 39513 (Wisconsin).

The current practice location address for Wisconsin Retina, S.c. is 2600 N Mayfair Rd Ste 350, Milwaukee, WI and can be reached out via phone at 414-777-0110 and via fax at 414-777-0330.

Location: 2600 N Mayfair Rd Ste 350, Milwaukee, WI, 53226-1372
institution
Provider Profile Details
NPI Number
1700907045
Provider Name
Wisconsin Retina, S.c.
Credential
Provider Entity Type
Organization
Address
2600 N Mayfair Rd Ste 350, Milwaukee, WI, 53226-1372
Phone Number
414-777-0110
Fax Number
414-777-0330
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32394500 05 WI
institution
Provider Business Practice Location Address Details
Address
2600 N Mayfair Rd Ste 350
City
State
Zip
53226-1372
Phone Number
414-777-0110
Fax Number
414-777-0330
person
Provider Business Mailing Address Details
Address
2600 N Mayfair Rd Ste 350
City
State
Zip
53226-1372
Phone Number
414-777-0110
Fax Number
414-777-0330
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ophthalmologic Surgery
Taxonomy
License No.
39513 (Wisconsin)
Definition
Definition to come...
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