Individual
DR. TAMMI L SAWALLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
269 MEMORIAL DR STE 103, BERLIN, WI 54923-1243
(920) 361-1696
(920) 361-1247
Mailing address
PO BOX 228, BERLIN, WI 54923-0228
(920) 361-1696
(920) 361-1247
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3047-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38630100
—
WI
Enumeration date
07/12/2006
Last updated
09/01/2023
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