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Organization
PETROU-HAEFS EYECARE, LLC
Active
Organization
PETROU-HAEFS EYECARE, LLC
Active
Other names
Petrou Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA PETROU OD (OPTOMETRIST)
(414) 839-8379
Entity
Organization
Contact information
Practice address
7040 N PORT WASHINGTON RD, SUITE 420, GLENDALE, WI 53217-3885
(414) 839-8379
Mailing address
7040 N PORT WASHINGTON RD, SUITE 420, GLENDALE, WI 53217-3885
(414) 839-8379
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2387-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385755400
—
WI
Enumeration date
02/12/2012
Last updated
02/12/2012
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