Thomas Eric Herzog INC

NPI #1902887508 in Spooner, Wisconsin

Provider Information

NPI Number: 1902887508
Entity Type: Organization
Organization Name: Thomas Eric Herzog INC
Primary Specialty: Clinic/Center
Enumeration Date: Nov 10, 2005
Last Updated: Jan 16, 2014

Practice Location

Address: W7164 GREEN VALLEY RD
City: Spooner
State: Wisconsin
ZIP Code: 54801-6605
Phone: (715) 635-3127

Authorized Official

Name: MR. THOMAS ERIC HERZOG
Title: OPTICIAN/OWNER
Phone: (715) 635-3127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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