Eye Clinic of Wisconsin, S.c.

NPI #1285617936 in Medford, Wisconsin

Provider Information

NPI Number: 1285617936
Entity Type: Organization
Organization Name: Eye Clinic of Wisconsin, S.c.
Primary Specialty: Ophthalmology
Enumeration Date: Nov 28, 2005
Last Updated: Feb 17, 2025

Practice Location

Address: 309 E BROADWAY AVE
City: Medford
State: Wisconsin
ZIP Code: 54451-1835
Phone: (715) 748-5775

Authorized Official

Name: DOUGLAS T. EDWARDS, MD
Title: MD/OWNER
Phone: (715) 261-8540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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