Organization
DONALD E. DLOUHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD EDWARD DLOUHY O.D. (OWNER)
(262) 781-8693
Entity
Organization
Contact information
Practice address
12728 W HAMPTON AVE, BUTLER, WI 53007-1602
(262) 781-8693
(262) 781-1468
Mailing address
12728 W HAMPTON AVE, BUTLER, WI 53007-1602
(262) 781-8693
(262) 781-1468
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1863-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38519900
—
WI
01
—
DE41133
SPECTERA
WI
Enumeration date
03/04/2009
Last updated
01/06/2014
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