St Croix Falls Eye Associates

NPI #1174653133 in Grantsburg, Wisconsin

Provider Information

NPI Number: 1174653133
Entity Type: Organization
Organization Name: St Croix Falls Eye Associates
Primary Specialty: Optometrist
Enumeration Date: Mar 7, 2007
Last Updated: Jun 6, 2023

Practice Location

Address: 617 S PINE ST
City: Grantsburg
State: Wisconsin
ZIP Code: 54840-7935
Phone: (715) 463-2370

Authorized Official

Name: MICHELLE HALL
Title: CREDENTIALING
Phone: (715) 483-3259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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