Individual
BRIANNE SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
719 DOCTORS CT, OSHKOSH, WI 54901
(920) 235-0066
Mailing address
719 DOCTORS CT, OSHKOSH, WI 54901-2077
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3430-35
WI
Other
Enumeration date
08/29/2016
Last updated
06/29/2018
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