Southwest Health Center, Inc.

NPI #1962974485 in Lancaster, Wisconsin

Provider Information

NPI Number: 1962974485
Entity Type: Organization
Organization Name: Southwest Health Center, Inc.
Primary Specialty: Optometrist
Enumeration Date: Dec 21, 2018
Last Updated: May 27, 2020

Practice Location

Address: 1509 IHM ST
City: Lancaster
State: Wisconsin
ZIP Code: 53813-9458
Phone: (608) 723-2020

Authorized Official

Name: JESSE SOOKOCHOFF
Title: CHIEF FINANCIAL OFFICER
Phone: (608) 342-4705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X
Optometrist	152W00000X	Primary

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