Organization
J. BRIAN CONRAN, O.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J BRIAN CONRAN O.D. (OWNER)
(920) 922-5430
Entity
Organization
Contact information
Practice address
110 E DIVISION ST, FOND DU LAC, WI 54935-4369
(920) 922-5430
(920) 922-5478
Mailing address
110 E DIVISION ST, FOND DU LAC, WI 54935-4369
(920) 922-5430
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
324235
WI
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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