| NPI | 1124450416 |
|---|---|
| Doing Business As | SSM HEALTH DAVIS DUEHR DEAN EYE CARE - WAUNAKEE |
| Entity Type | Organization |
| Authorized Contact | AMY J GRINNELL Vice President Finance 608-260-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2020-08-03 |