| NPI | 1679741318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA GRAY DOBSON Sole Proprietor 920-445-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WI 27190-021) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-19 |