| NPI | 1174636922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GEORGE POETZ President 262-521-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: WI N/A) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2013-01-12 |