| NPI | 1487703880 |
|---|---|
| Doing Business As | WISCONSIN OCULOPLASTICS SC |
| Entity Type | Organization |
| Authorized Contact | WENDY J JUSTUS Practice Manager 920-965-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-10-21 |