Individual
DR. DALE R. BUETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8225 S 27TH ST, FRANKLIN, WI 53132-9310
(414) 761-2269
Mailing address
16800 W CLEVELAND AVE, NEW BERLIN, WI 53151-3533
(262) 432-2005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2872-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WI2872
EYEMED VISION NO.
—
Enumeration date
08/12/2006
Last updated
04/28/2008
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