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Organization
DANIEL L. GAUERKEI DBA BROADWAY VISION CENTER
Active
Organization
DANIEL L. GAUERKEI DBA BROADWAY VISION CENTER
Active
Other names
Broadway Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDY J GUYER (PRACTICE MANAGER)
(715) 258-9122
Entity
Organization
Contact information
Practice address
815 W FULTON ST, SUITE 103, WAUPACA, WI 54981-1405
(715) 258-9122
(715) 258-3090
Mailing address
815 W FULTON ST, SUITE 103, WAUPACA, WI 54981-1405
(715) 258-9122
(715) 258-3090
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
1938
WI
Other
Enumeration date
10/29/2007
Last updated
10/29/2010
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