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Organization

SOLBERG EYE CARE SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANE A SOLBERG (OWNER)
(262) 542-5295
Entity
Organization

Contact information

Practice address
S30W24896 SUNSET DR, SUITE 105, WAUKESHA, WI 53189-7021
(262) 542-5295
Mailing address
S30W24896 SUNSET DR, SUITE 105, WAUKESHA, WI 53189-7021
(262) 542-5295

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2334
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38587900
WI
Enumeration date
10/29/2007
Last updated
04/29/2014
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