DR. Shane Brahm

NPI #1831570761 in Lac Du Flambeau, Wisconsin

Provider Information

NPI Number: 1831570761
Entity Type: Individual
Name: DR. Shane Brahm
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Jun 16, 2015
Last Updated: Jun 16, 2015

Practice Location

Address: 129 OLD ABE RD
City: Lac Du Flambeau
State: Wisconsin
ZIP Code: 54538-9386
Phone: (715) 588-3371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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