William E, Bourgeois O.d,, S.c.

NPI #1851462394 in Marinette, Wisconsin

Provider Information

NPI Number: 1851462394
Entity Type: Organization
Organization Name: William E, Bourgeois O.d,, S.c.
Primary Specialty: Optometrist
Enumeration Date: Nov 13, 2006
Last Updated: Oct 9, 2020

Practice Location

Address: 1507 MAIN ST
City: Marinette
State: Wisconsin
ZIP Code: 54143-1301
Phone: (715) 735-9593

Authorized Official

Name: CRYSTAL SUE HERBST
Title: CPOA
Phone: (715) 735-9593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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