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Organization

EYE CLINIC OF WISCONSIN, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRI YEAGER (ADMINISTRATIVE SERVICES MANAGER)
(715) 261-8500
Entity
Organization

Contact information

Practice address
841 GOODNOW AVE, SUITE 103, WISCONSIN RAPIDS, WI 54494-0315
(715) 261-8500
Mailing address
800 N 1ST ST, WAUSAU, WI 54403-4754
(715) 261-8500
(715) 261-8667

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
01/07/2015
Last updated
01/21/2025
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