DAVID CLARK LIEBURN

GREEN BAY, WI
NPI1740271782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: WI  1748-035)
Enumeration Date2005-10-31
Last Update Date2009-12-11
Business Address
Dr. DAVID CLARK LIEBURN O.D.
2585 LINEVILLE RD
GREEN BAY, WI 54313-7122
Phone number: 920-662-9450
Mailing Address
Dr. DAVID CLARK LIEBURN O.D.
3172 ATLANTIS DR
GREEN BAY, WI 54313-7385
Phone number: 920-434-9425