Organization
EA SANDERS, OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A BERGO O.D. (OPTOMETRIST)
(715) 573-7222
Entity
Organization
Contact information
Practice address
2509 BUFFLEHEAD AVE, WAUSAU, WI 54401-9191
(715) 573-7222
Mailing address
2509 BUFFLEHEAD AVE, WAUSAU, WI 54401-9191
(715) 573-7222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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