Individual
DAVID R DUFECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
301 N BROADWAY, DEPERE, WI 54115
(920) 336-7700
(920) 338-1799
Mailing address
301 N BROADWAY, DEPERE, WI 54115
(920) 336-7700
(920) 338-1799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1428
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38517800
—
WI
Enumeration date
08/31/2006
Last updated
01/07/2009
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