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Individual

DENNIS E HARKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
2851B NEW PINERY RD, PORTAGE, WI 53901-9257
(608) 742-5522
(608) 745-5454
Mailing address
2851B NEW PINERY RD, PORTAGE, WI 53901-9257
(608) 742-5522
(608) 745-5454

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1625-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124071352
WI
Enumeration date
05/18/2006
Last updated
11/18/2020
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