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1477687739
IVAN ANDREW IRELAND
BROOKFIELD, WI
NPI
1477687739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: WI 42239-020)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
-- IVAN ANDREW IRELAND MD
18110 W BLUEMOUND RD
BROOKFIELD, WI 53045-2917
Phone number: 262-860-1771
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Mailing Address
-- IVAN ANDREW IRELAND MD
19050 BAYTHORN WAY
BROOKFIELD, WI 53045-3810
Phone number: 414-405-7167
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