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Organization
SUMMIT EYE CARE OF WISCONSIN SC
Active
Organization
SUMMIT EYE CARE OF WISCONSIN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN VUKICH M.D. (OWNER)
(414) 877-6414
Entity
Organization
Contact information
Practice address
10425 W NORTH AVE STE 245, WAUWATOSA, WI 53226-2416
(414) 877-6414
Mailing address
10425 W NORTH AVE STE 140, WAUWATOSA, WI 53226-2400
(414) 877-6414
(414) 386-5245
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
01/22/2020
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