Individual
ROBERT BAILEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABO
Contact information
Practice address
207 2ND AVE W, ASHLAND, WI 54806-1605
(715) 682-8181
(715) 682-8181
Mailing address
700 9TH AVE W, ASHLAND, WI 54806-2810
(715) 209-2435
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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