CHARLES TIMOTHY BRAKEFIELD

MADISON, WI
NPI1457894404
Professional NameTIM BRAKEFIELD
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1700X Technician/Technologist, Ocularist
(Licence: WI  036-0002195093-04)
Enumeration Date2016-11-23
Last Update Date2022-07-21
Business Address
-- CHARLES TIMOTHY BRAKEFIELD Ocularist
6401 ODANA RD STE 23
MADISON, WI 53719-1126
Phone number: 608-661-9030
Mailing Address
-- CHARLES TIMOTHY BRAKEFIELD Ocularist
2725 MARSHALL CT
MADISON, WI 53705-2288
Phone number: 608-661-9030