THIRD COAST RETINA S.C.

KENOSHA, WI
NPI1831823921
Entity TypeOrganization
Authorized ContactCLINTON WARREN
President
262-420-5888
Organization Subpart ?No
Primary Taxonomy207WX0107X Ophthalmology, Retina Specialist
Enumeration Date2022-07-13
Last Update Date2022-08-10
Business Address
THIRD COAST RETINA S.C.
5017 GREEN BAY RD STE 148
KENOSHA, WI 53144-1782
Phone number: 262-420-5888
Mailing Address
THIRD COAST RETINA S.C.
5017 GREEN BAY RD STE 148
KENOSHA, WI 53144-1782
Phone number: 336-692-3384
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