Organization
MEDICAL EYE ASSOCIATES OF WISCONSIN,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ALLEN M.D. (PRESIDENT/OWNER)
(262) 796-3937
Entity
Organization
Contact information
Practice address
15455 W BLUEMOUND RD, SUITE 240, BROOKFIELD, WI 53005-4007
(262) 796-3937
Mailing address
7840 MONTGOMERY RD, CINCINNATI, OH 45236-4301
(513) 792-9292
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
WI
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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