Eye Clinic of Wisconsin, S.c.

NPI #1740264266 in Antigo, Wisconsin

Provider Information

NPI Number: 1740264266
Entity Type: Organization
Organization Name: Eye Clinic of Wisconsin, S.c.
Primary Specialty: Ophthalmology
Enumeration Date: Nov 30, 2005
Last Updated: Jan 21, 2025

Practice Location

Address: 109 STATE HWY 64
City: Antigo
State: Wisconsin
ZIP Code: 54409
Phone: (715) 623-6662

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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