Individual
BROOKE FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4115 CALUMET AVE, MANITOWOC, WI 54220-5491
(950) 652-9674
Mailing address
4115 CALUMET AVE, MANITOWOC, WI 54220-5491
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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