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Organization
MEDICAL EYE ASSOCIATES, S.C.
Active
Organization
MEDICAL EYE ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA MCCULLOUGH (PRACTICE ADMINISTRATOR)
(262) 506-1627
Entity
Organization
Contact information
Practice address
201 N MAYFAIR RD STE 525, WAUWATOSA, WI 53226-4216
(262) 547-3352
Mailing address
1111 DELAFIELD ST STE 312, WAUKESHA, WI 53188-3407
(262) 506-1627
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
10/09/2023
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