Individual
ANN PATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3051 CAHILL MAIN, FITCHBURG, WI 53711-7109
(608) 661-7200
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1941
(608) 251-4156
(608) 258-3842
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2224
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38602300
—
WI
Enumeration date
07/12/2006
Last updated
07/08/2007
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