Drs. Paul M Godich and Mark a Dagenais Optometrists LLC
NPI #1184054363 in Hales Corners, Wisconsin
Provider Information
- NPI Number
- 1184054363
- Entity Type
- Organization
- Organization Name
- Drs. Paul M Godich and Mark a Dagenais Optometrists LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Nov 25, 2013
- Last Updated
- Feb 19, 2014
Practice Location
- Address
- 10555 W PARNELL AVE
- City
- Hales Corners
- State
- Wisconsin
- ZIP Code
- 53130-2000
- Phone
- (414) 425-4141
Authorized Official
- Name
- DR. MARK A DAGENAIS, OD
- Title
- PARTNER
- Phone
- (414) 425-4141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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