Organization
ST CROIX FALLS EYE ASSOCIATES
Active
Other names
Grantsburg Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HALL (CREDENTIALING)
(715) 483-3259
Entity
Organization
Contact information
Practice address
617 S PINE ST, GRANTSBURG, WI 54840-7935
(715) 463-2370
(608) 571-0088
Mailing address
PO BOX 767, SAINT CROIX FALLS, WI 54024-0767
(715) 483-3259
(608) 571-0088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2589-035
WI
152W00000X
Optometrist
Primary
2608-035
WI
Other
Enumeration date
03/07/2007
Last updated
06/06/2023
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