Individual
SARA C FALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
555 S 108TH ST, WEST ALLIS, WI 53214-1145
(414) 566-3050
Mailing address
W217N9704 WHITEHORSE DR, COLGATE, WI 53017-9562
(713) 865-0128
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3113-35
WI
Other
Enumeration date
07/30/2008
Last updated
09/02/2016
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