SE Professionals, S.c.

NPI #1528143500 in Fredonia, Wisconsin

Provider Information

NPI Number: 1528143500
Entity Type: Organization
Organization Name: SE Professionals, S.c.
Primary Specialty: Optometrist
Enumeration Date: Oct 26, 2006
Last Updated: Oct 31, 2012

Practice Location

Address: 120 MARTIN DR
City: Fredonia
State: Wisconsin
ZIP Code: 53021-9455
Phone: (262) 692-9000

Authorized Official

Name: DAVID KING AYMOND, MD
Title: OWNER
Phone: (920) 467-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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