DR. Thomas Kenneth Bialecke, OD

NPI #1164539821 in Dixon, Illinois

Provider Information

NPI Number: 1164539821
Entity Type: Individual
Name: DR. Thomas Kenneth Bialecke, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1350 N GALENA AVE
City: Dixon
State: Illinois
ZIP Code: 61021
Phone: (815) 284-3935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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