TAI M CHAN

WAUPUN, WI
NPI1508908872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152WC0802X Optometrist, Corneal and Contact Management
(Licence: WI  1529)
Enumeration Date2007-02-13
Last Update Date2007-07-08
Business Address
Dr. TAI M CHAN O.D.
1 W LINCOLN ST
WAUPUN, WI 53963-1949
Phone number: 920-324-5577
Mailing Address
Dr. TAI M CHAN O.D.
408 MADISON ST
BEAVER DAM, WI 53916-2531
Phone number: 608-347-3937