Eye Clinic of Wisconsin Sc

NPI #1558081000 in Marshfield, Wisconsin

Provider Information

NPI Number: 1558081000
Entity Type: Organization
Organization Name: Eye Clinic of Wisconsin Sc
Primary Specialty: Ophthalmology
Enumeration Date: Sep 2, 2022
Last Updated: Sep 14, 2022

Practice Location

Address: 409 N CHESTNUT AVE
City: Marshfield
State: Wisconsin
ZIP Code: 54449-2000
Phone: (715) 261-8557

Authorized Official

Name: KIMBERLY GODDARD
Title: ADMINISTRATOR
Phone: (715) 261-8557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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