Organization
JAMES A. REEDSTROM, O.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ALAN REEDSTROM O.D. (PRESIDENT)
(715) 394-5722
Entity
Organization
Contact information
Practice address
1325 TOWER AVE, SUPERIOR, WI 54880-1504
(715) 394-5722
Mailing address
1325 TOWER AVE, SUPERIOR, WI 54880-1504
(715) 394-5722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1511035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38563900
—
WI
Enumeration date
10/19/2008
Last updated
08/04/2009
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