Busisiwe Rose Vandriel, O.D.

NPI #1043403967 in Wausau, Wisconsin

Provider Information

NPI Number: 1043403967
Entity Type: Individual
Name: Busisiwe Rose Vandriel, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 23, 2007
Last Updated: Jul 29, 2014

Practice Location

Address: 200 S 18TH AVE
City: Wausau
State: Wisconsin
ZIP Code: 54401-4252
Phone: (715) 842-8040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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