Individual
KELLYE ZAPORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
701 S CHURCH ST, WATERTOWN, WI 53094-6213
(920) 261-9225
Mailing address
701 S CHURCH ST, WATERTOWN, WI 53094-6213
(920) 261-9225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3387-35
WI
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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