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Organization

PARKWOOD EYECARE ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN CARL STERNITZKY O.D. (MANAGING PARTNER)
(715) 421-2111
Entity
Organization

Contact information

Practice address
1220 PARKWOOD DR, WISCONSIN RAPIDS, WI 54494-5488
(715) 421-2111
(715) 421-2123
Mailing address
1220 PARKWOOD DR, WISCONSIN RAPIDS, WI 54494-5488
(715) 421-2111
(715) 421-2123

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1687035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285804807
WI
Enumeration date
03/11/2008
Last updated
10/31/2013
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