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Individual

ISAAC TAYLOR GERHARTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10600 W LAYTON AVE, GREENFIELD, WI 53228-3258
(414) 209-0359
(414) 427-6168
Mailing address
2562 S 85TH ST, WEST ALLIS, WI 53227-2720
(414) 304-9542

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
ABOC-264958
WI

Other

Enumeration date
04/03/2025
Last updated
04/10/2025
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