DR. Brian L Meckelberg, OD

NPI #1013993393 in Wautoma, Wisconsin

Provider Information

NPI Number
1013993393
Entity Type
Individual
Name
DR. Brian L Meckelberg, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Dec 19, 2005
Last Updated
Jul 13, 2010

Practice Location

Address
N2577 PLAZA RD
ZIP Code
54982-7706
Phone
(920) 787-3837

Specialties & Taxonomy Codes

Specialty
Optometrist

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Provider Name
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