Individual
DR. MARK HARTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
27 E TOWNE MALL, MADISON, WI 53704-3711
(815) 332-2223
(815) 332-4488
Mailing address
8485 ARBOR TRACE DR, VERONA, WI 53593-8762
(815) 332-2223
(815) 332-4488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WI2904
WI
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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