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1508908872
TAI M CHAN
WAUPUN, WI
NPI
1508908872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152WC0802X Optometrist, Corneal and Contact Management
(Licence: WI 1529)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Dr. TAI M CHAN O.D.
1 W LINCOLN ST
WAUPUN, WI 53963-1949
Phone number: 920-324-5577
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Mailing Address
Dr. TAI M CHAN O.D.
408 MADISON ST
BEAVER DAM, WI 53916-2531
Phone number: 608-347-3937
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