Organization
DRS. PAUL M GODICH AND MARK A DAGENAIS OPTOMETRISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A DAGENAIS OD (PARTNER)
(414) 425-4141
Entity
Organization
Contact information
Practice address
10555 W PARNELL AVE, HALES CORNERS, WI 53130-2000
(414) 425-4141
(414) 425-4230
Mailing address
10555 W PARNELL AVE, HALES CORNERS, WI 53130-2000
(414) 425-4141
(414) 425-4230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
02/19/2014
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