AEG WISCONSIN PROFESSIONAL LTD

HUDSON, WI
NPI1407801087
Entity TypeOrganization
Authorized ContactCASEY BENNINGTON
Authorized Official
618-462-9818
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Enumeration Date2006-05-23
Last Update Date2024-01-24
Business Address
AEG WISCONSIN PROFESSIONAL LTD
2215 VINE ST SUITE E
HUDSON, WI 54016-5802
Phone number: 715-381-1234
Mailing Address
AEG WISCONSIN PROFESSIONAL LTD
111 E 4TH ST STE 440
ALTON, IL 62002-6206
Phone number: 618-462-9818