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Organization
HALE IRELAND, SC
Active
Organization
HALE IRELAND, SC
Active
Other names
Hale Ireland Laser & Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN A IRELAND MD (VICE-PRESIDENT)
(262) 789-9029
Entity
Organization
Contact information
Practice address
20350 WATER TOWER BLVD, 200, BROOKFIELD, WI 53045-3558
(262) 789-9029
(262) 789-0676
Mailing address
20350 WATER TOWER BLVD, 200, BROOKFIELD, WI 53045-3558
(262) 789-9029
(262) 789-0676
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
42239
WI
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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