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Individual

DR. GREGORY A. FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
446 COURT ST, NEILLSVILLE, WI 54456-1955
(715) 743-3126
(715) 743-5050
Mailing address
446 COURT ST, P.O. BOX 31, NEILLSVILLE, WI 54456-1955
(715) 743-3126
(715) 743-5050

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1728-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38518300
WI
Enumeration date
12/06/2005
Last updated
11/18/2010
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