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Individual

SCOTT FRANCIS BRUNEAU

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1100 E RIVERVIEW EXPY, WISCONSIN RAPIDS, WI 54494-5483
(715) 423-1340
(715) 423-1444
Mailing address
1100 E RIVERVIEW EXPY, WISCONSIN RAPIDS, WI 54494-5483
(715) 423-1340
(715) 423-1444

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2719-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38606200
WV
Enumeration date
05/16/2006
Last updated
07/09/2007
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