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
ZIP Code
53045-2059
Phone
(262) 797-9638

Specialties & Taxonomy Codes

Specialty
Optometrist

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