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Individual

DR. JOSEPH WARD STRADEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
919 W KENNEDY AVE STE A, KIMBERLY, WI 54136-2205
(920) 733-0919
(920) 733-0912
Mailing address
919 W KENNEDY AVE STE A, KIMBERLY, WI 54136-2205
(920) 733-0919
(920) 733-0912

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2693 035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38601300
WI
Enumeration date
12/19/2005
Last updated
12/18/2012
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