Individual
ANDREY IANOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8661 S HOWELL AVE STE 200, OAK CREEK, WI 53154-2919
(414) 847-0164
Mailing address
860 WEIDNER RD APT 502, BUFFALO GROVE, IL 60089-4753
(440) 212-6885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
353735
WI
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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