DR. Mary Ellen Teclaw, O.D.
NPI #1750824959 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1750824959
- Entity Type
- Individual
- Name
- DR. Mary Ellen Teclaw, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Nov 21, 2016
- Last Updated
- Aug 6, 2018
Practice Location
- Address
- 17495 W CAPITOL DR
- Address 2
- SUITE D
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53045-2059
- Phone
- (262) 797-9638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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