Individual
DR. CYNTHIA KAE DECKER-RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
203 A EAST SUNSET, WISCONSIN VISION, WAUKESHA, WI 53189
(262) 670-9427
Mailing address
6171 STATE ROAD 167, HARTFORD, WI 53027-9762
(262) 670-9427
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2657
WI
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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