Organization
D K FUNKHOUSER OD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNE KAY FUNKHOUSER O.D. (DIRECT OWNER)
(608) 220-7167
Entity
Organization
Contact information
Practice address
6658 ODANA ROAD, MADISON, WI 53719
(608) 220-7167
Mailing address
5834 LAKE EDGE ROAD, MCFARLAND, WI 53558
(608) 220-7167
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2216
WI
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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