Hale Center for Refractive Surgery, LLC

NPI #1871658518 in Brookfield, Wisconsin

Provider Information

NPI Number: 1871658518
Entity Type: Organization
Organization Name: Hale Center for Refractive Surgery, LLC
Primary Specialty: Specialist
Enumeration Date: Dec 22, 2006
Last Updated: Jan 4, 2008

Practice Location

Address: 20350 WATER TOWER BLVD
Address 2: SUITE 200
City: Brookfield
State: Wisconsin
ZIP Code: 53045-3558
Phone: (262) 789-9029

Authorized Official

Name: MONIQUE GINGRAS
Title: ADMINISTRATOR
Phone: (262) 789-9179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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