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Individual

DR. JOSEPH ROMANAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7323 60TH AVE, KENOSHA, WI 53142-3542
(262) 942-9899
(262) 942-0124
Mailing address
7323 60TH AVE, KENOSHA, WI 53142-3542
(262) 942-9899
(262) 942-0124

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WI2200
WI
152WC0802X
Corneal and Contact Management Optometrist
WI2200
WI
152WL0500X
Low Vision Rehabilitation Optometrist
WI2200
WI
152WP0200X
Pediatric Optometrist
WI2200
WI
152WS0006X
Sports Vision Optometrist
WI2200
WI
152WV0400X
Vision Therapy Optometrist
WI2200
WI
152WX0102X
Occupational Vision Optometrist
WI2200
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
391760322
TAX ID
WI
Enumeration date
01/22/2007
Last updated
06/13/2008
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