Organization
DRS. DAHLGREN & NEITZKE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY ALBERT DAHLGREN O.D. (PRESIDENT)
(414) 453-1010
Entity
Organization
Contact information
Practice address
7311 W GREENFIELD AVE, WEST ALLIS, WI 53214-4730
(414) 453-1010
Mailing address
7311 W GREENFIELD AVE, WEST ALLIS, WI 53214-4730
(414) 453-1010
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38410500
—
WI
Enumeration date
01/18/2007
Last updated
04/05/2013
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