Ophthalmic Surgery of Wi Ltd

NPI #1093881609 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1093881609
Entity Type: Organization
Organization Name: Ophthalmic Surgery of Wi Ltd
Primary Specialty: Ophthalmology
Enumeration Date: Nov 27, 2006
Last Updated: Jun 24, 2019

Practice Location

Address: 509 S WASHBURN ST
City: Oshkosh
State: Wisconsin
ZIP Code: 54904-7949
Phone: (920) 236-4160

Authorized Official

Name: GERALD P CLARKE, M.D.
Title: PRESIDENT
Phone: (920) 236-4160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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