Individual
DR. JULIA B EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
101 SOUTH MAIN ST., DE FOREST, WI 53532-1108
(608) 846-5625
(608) 846-8998
Mailing address
101 S. MAIN ST., DE FOREST, WI 53532-1108
(608) 846-5625
(608) 846-8998
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2173
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38573600
—
WI
Enumeration date
10/27/2005
Last updated
04/13/2009
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