Midline Vision Group LLC

NPI #1689382079 in Antigo, Wisconsin

Provider Information

NPI Number: 1689382079
Entity Type: Organization
Organization Name: Midline Vision Group LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 14, 2022
Last Updated: Nov 14, 2022

Practice Location

Address: 714 3RD AVE
City: Antigo
State: Wisconsin
ZIP Code: 54409-2044
Phone: (715) 623-2180

Authorized Official

Name: MICHELLE HUBER
Title: MANAGER CBO
Phone: (715) 298-3486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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