Organization
HARRY A. EASOM, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY A EASOM MD (PRESIDENT)
(414) 271-7200
Entity
Organization
Contact information
Practice address
377 W RIVER WOODS PKWY, SUITE 115, GLENDALE, WI 53212-1088
(414) 271-7200
(414) 271-7278
Mailing address
377 W RIVER WOODS PKWY, SUITE 115, GLENDALE, WI 53212-1088
(414) 271-7200
(414) 271-7278
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14484
WI
Other
Enumeration date
01/11/2008
Last updated
06/04/2008
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