Individual
JILL M DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
220 24TH ST SOUTH, WISC RAPIDS, WI 54494
(715) 423-3910
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2736
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38610800
—
WI
Enumeration date
08/24/2006
Last updated
11/17/2022
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