Individual
DR. EDWARD KARL MELBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2677 S PRAIRIE VIEW RD, CHIPPEWA FALLS, WI 54729-7506
(715) 726-1671
(715) 726-1587
Mailing address
16757 121ST AVE, CHIPPEWA FALLS, WI 54729-6173
(715) 288-6115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1822
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38521300
—
WI
Enumeration date
05/11/2006
Last updated
07/08/2007
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