Individual
ALLISON BURBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
845 WATER AVE, HILLSBORO, WI 54634-6213
(608) 489-2451
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3412
WI
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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