Organization
GREAT LAKES FAMILY VISION SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART WADE NATALE O.D. (OWNER/ OPTOMETRIST)
(262) 268-2007
Entity
Organization
Contact information
Practice address
289 E GREEN BAY AVE, SAUKVILLE, WI 53080-2006
(262) 268-2007
(262) 268-8257
Mailing address
289 E GREEN BAY AVE, SAUKVILLE, WI 53080-2006
(262) 268-2007
(262) 268-8257
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2716035
WI
Other
Enumeration date
10/30/2009
Last updated
12/11/2009
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