| NPI | 1093881609 |
|---|---|
| Other Name | OPHTHALMIC SURGERY OF WISCONSIN LTD |
| Entity Type | Organization |
| Authorized Contact | GERALD P CLARKE President 920-236-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2019-06-24 |