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Individual

MICHAEL LINDEMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5300 S 76TH ST, GREENDALE, WI 53129-1102
(414) 421-6450
(414) 421-0261
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1883
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38585000
WI
Enumeration date
12/28/2006
Last updated
07/09/2007
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