Individual
MARTIN VIEBAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 THEDA CLARK PLAZA, SUITE 110, NEENAH, WI 54956
(920) 751-8666
(920) 751-8676
Mailing address
200 THEDA CLARK PLAZA, SUITE 110, NEENAH, WI 54956
(920) 751-8666
(920) 751-8676
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37249
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32210200
—
WI
Enumeration date
07/30/2006
Last updated
07/08/2007
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