DR. Jolie Denise Legate, OD

NPI #1417615600 in Mequon, Wisconsin

Provider Information

NPI Number
1417615600
Entity Type
Individual
Name
DR. Jolie Denise Legate, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Dec 4, 2021
Last Updated
Dec 12, 2021

Practice Location

Address
10800 N PORT WASHINGTON RD
City
Mequon
ZIP Code
53092-5007
Phone
(262) 241-4848

Specialties & Taxonomy Codes

Specialty
Optometrist

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