| NPI | 1003083114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARIE DEJMEK Owner 920-722-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: WI 1576) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2019-10-24 |