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Organization

EYE CLINIC OF WISCONSION, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERNON C PARMLEY MD (PRESIDENT)
(715) 261-8500
Entity
Organization

Contact information

Practice address
1020 3RD AVE, WOODRUFF, WI 54568-1520
(715) 261-8500
(715) 261-8667
Mailing address
PO BOX 689, WAUSAU, WI 54402-0689
(715) 261-8500
(715) 261-0540

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32667800
WI
Enumeration date
02/04/2011
Last updated
02/04/2011
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