Individual
DR. SALY THI TRAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
19035 W CAPITOL DR, SUITE 106, BROOKFIELD, WI 53045-2706
(262) 754-4880
(262) 754-9814
Mailing address
19035 W CAPITOL DR, SUITE 106, BROOKFIELD, WI 53045-2706
(262) 754-4880
(262) 754-9814
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2820-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2820-035
STATE LICENSE NUMBER
WI
Enumeration date
04/26/2006
Last updated
07/09/2007
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