DR. Gary John Burkhardt, O.D.

NPI #1861479412 in Chilton, Wisconsin

Provider Information

NPI Number: 1861479412
Entity Type: Individual
Name: DR. Gary John Burkhardt, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 26, 2005
Last Updated: Jan 28, 2013

Practice Location

Address: 19 W MAIN ST
City: Chilton
State: Wisconsin
ZIP Code: 53014-1323
Phone: (920) 849-4291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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