Individual
DR. ROBERT JOHN ALEXEJUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
205 W BRIDGE ST, WAUSAU, WI 54401-3000
(715) 848-2020
(715) 845-6669
Mailing address
205 W BRIDGE ST, WAUSAU, WI 54401-3000
(715) 848-2020
(715) 845-6669
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1420
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38573100
—
WI
01
—
4145690001
NSC EYE WEAR DESIGNS LLP
WI
01
—
4900830001
NSC EYECARE CTR OF WAUSAU
WI
Enumeration date
01/29/2007
Last updated
02/09/2012
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