# HARRY A. EASOM, M.D., S.C.

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

## Provider details

- **NPI number:** 1306022116
- **Authorized official:** DR. HARRY A EASOM MD (PRESIDENT)
- **Authorized official phone:** (414) 271-7200

## Contact information

- **Practice address:** 377 W RIVER WOODS PKWY, SUITE 115, GLENDALE, WI 53212-1088
- **Practice address phone:** (414) 271-7200
- **Practice address fax:** (414) 271-7278
- **Mailing address:** 377 W RIVER WOODS PKWY, SUITE 115, GLENDALE, WI 53212-1088
- **Mailing address phone:** (414) 271-7200
- **Mailing address fax:** (414) 271-7278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 14484 | WI | Yes |

## Other

- **Enumeration date:** 01/11/2008
- **Last updated:** 06/04/2008