Organization
SAVAGLIO EYE CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT PAUL SAVAGLIO MD (PHYSICIAN PRESIDENT)
(262) 657-3636
Entity
Organization
Contact information
Practice address
3535 30TH AVENUE, SUITE 102, KENOSHA, WI 53144
(262) 657-3636
Mailing address
3535 30TH AVENUE, SUITE 102, KENOSHA, WI 53144
(262) 657-3636
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16444020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31101700
—
WI
Enumeration date
12/04/2006
Last updated
10/10/2007
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