# DONALD E. DLOUHY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215177167
- **Authorized official:** DR. DONALD EDWARD DLOUHY O.D. (OWNER)
- **Authorized official phone:** (262) 781-8693

## Contact information

- **Practice address:** 12728 W HAMPTON AVE, BUTLER, WI 53007-1602
- **Practice address phone:** (262) 781-8693
- **Practice address fax:** (262) 781-1468
- **Mailing address:** 12728 W HAMPTON AVE, BUTLER, WI 53007-1602
- **Mailing address phone:** (262) 781-8693
- **Mailing address fax:** (262) 781-1468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1863-035 | WI | Yes |

## Other

- **Enumeration date:** 03/04/2009
- **Last updated:** 01/06/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 38519900 | — | WI |
| 01 | — | DE41133 | SPECTERA | WI |