MICHAEL CHARLES TANKOVICH

BROOKFIELD, WI
NPI1659305191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WI  1415)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
Dr. MICHAEL CHARLES TANKOVICH OD
3540-C NORTH 126TH STREET
BROOKFIELD, WI 53005-2403
Phone number: 262-790-9559
Mailing Address
Dr. MICHAEL CHARLES TANKOVICH OD
25 NEEDHAM ST
NEWTON, MA 02461-1615
Phone number: 617-964-6681
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