BRIAN L MECKELBERG

WAUTOMA, WI
NPI1013993393
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: WI  2056)
Enumeration Date2005-12-19
Last Update Date2010-07-13
Business Address
Dr. BRIAN L MECKELBERG OD
N2577 PLAZA RD
WAUTOMA, WI 54982-7706
Phone number: 920-787-3837
Mailing Address
Dr. BRIAN L MECKELBERG OD
PO BOX 366 N2577 PLAZA RD
WAUTOMA, WI 54982-0366
Phone number: 920-787-3837
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