Individual
DR. SANDRA JOY MALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
104A N ARGYLE AVE, PHILLIPS, WI 54555
(715) 339-2040
(715) 339-3885
Mailing address
104A N ARGYLE AVE, PHILLIPS, WI 54555
(715) 339-2040
(715) 339-3885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1545035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169820001
DMERC
WI
05
—
38564600
—
WI
Enumeration date
07/07/2006
Last updated
07/08/2007
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