Individual
DOUGLAS MILTON ORLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
106 S. HOLMEN DR., SUITE 6, HOLMEN, WI 54636-9467
(608) 526-1177
(608) 526-4131
Mailing address
1017 STREBLOW ST., ONALASKA, WI 54650-2084
(608) 783-9770
(608) 783-9770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1520
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38505100
—
WI
01
—
391406621014
BCBS OF WISCONSIN
—
Enumeration date
10/12/2006
Last updated
10/19/2007
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