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Organization
EYE CLINIC OF WISCONSIN, S.C.
Active
Organization
EYE CLINIC OF WISCONSIN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS T. EDWARDS MD (MD OWNER)
(715) 261-8500
Entity
Organization
Contact information
Practice address
2 E OCALA ST, RHINELANDER, WI 54501-3907
(715) 362-2600
(715) 362-2081
Mailing address
800 1ST ST, PO BOX 689, WAUSAU, WI 54403-4754
(715) 261-8500
(715) 261-8667
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32667800
—
WI
Enumeration date
11/28/2005
Last updated
01/21/2025
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