Thielke Family Eye Care, LLC

NPI #1790173425 in Saint Croix Falls, Wisconsin

Provider Information

NPI Number: 1790173425
Entity Type: Organization
Organization Name: Thielke Family Eye Care, LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 5, 2015
Last Updated: Mar 9, 2015

Practice Location

Address: 2212 GLACIER DR
City: Saint Croix Falls
State: Wisconsin
ZIP Code: 54024-8347
Phone: (715) 483-2571

Authorized Official

Name: TRENT N. THIELKE, O.D.
Title: REGISTERED AGENT
Phone: (715) 808-0480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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