DR. Charles Douglas Stine, OD

NPI #1740267129 in Weston, Wisconsin

Provider Information

NPI Number
1740267129
Entity Type
Individual
Name
DR. Charles Douglas Stine, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Dec 28, 2005
Last Updated
Feb 19, 2016

Practice Location

Address
4009 COMMUNITY CENTER DR
City
Weston
ZIP Code
54476-4139
Phone
(715) 241-2020

Specialties & Taxonomy Codes

Specialty
Optometrist

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Organizations

Provider Name
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