Gerald O Theune, OD

NPI #1700830536 in Whitewater, Wisconsin

Provider Information

NPI Number: 1700830536
Entity Type: Individual
Name: Gerald O Theune, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 19, 2006
Last Updated: Dec 29, 2020

Practice Location

Address: 128 N TRATT ST
City: Whitewater
State: Wisconsin
ZIP Code: 53190-1212
Phone: (262) 473-4514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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